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Individual

MRS. JENNIFER W. ROTUNDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC, LMHC, NCC

Contact information

Practice address
825 EARLHAM DR, SUWANEE, GA 30024-8538
(770) 205-2676
Mailing address
825 EARLHAM DR, SUWANEE, GA 30024-8538
(770) 205-2676

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
004020
NY
101YP2500X
Professional Counselor
Primary
005466
GA

Other

Enumeration date
01/22/2007
Last updated
01/04/2010
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