Individual
JENNIFER VICTORIA PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1745 THOMPSON BRIDGE RD, GAINESVILLE, GA 30501-1717
(770) 536-9903
(770) 536-9904
Mailing address
PO BOX 6555, GAINESVILLE, GA 30504-1083
(770) 536-9903
(770) 536-9904
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC005543
GA
Other
Enumeration date
10/31/2016
Last updated
10/31/2016
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