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Individual

JEANIE ROBERTSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S., LPC

Contact information

Practice address
12945 OLD COURSE DR, ROSWELL, GA 30075-6396
(770) 910-4807
Mailing address
12945 OLD COURSE DR, ROSWELL, GA 30075-6396
(770) 910-4807

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
001307
GA

Other

Enumeration date
02/18/2021
Last updated
02/18/2021
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