Individual
JACLYN HITCHCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, NCC, LAPC
Contact information
Practice address
2440 SANDY PLAINS RD, BUILDING 13, SUITE 300, MARIETTA, GA 30066-7217
(770) 971-9311
Mailing address
2440 SANDY PLAINS RD, BUILDING 13, SUITE 300, MARIETTA, GA 30066-7217
(770) 971-9311
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC002991
GA
Other
Enumeration date
05/04/2011
Last updated
05/04/2011
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