Individual
DR. HALISI JACQUELINE EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2616 OLD WESLEY CHAPEL RD, SUITE 102, DECATUR, GA 30034-2367
(404) 288-2826
(404) 288-2556
Mailing address
2616 OLD WESLEY CHAPEL RD, SUITE 102, DECATUR, GA 30034-2367
(404) 288-2826
(404) 288-2556
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PSY002858
GA
Other
Enumeration date
07/14/2006
Last updated
07/08/2007
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