Individual
ERICA JASPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LAPC, NCC
Contact information
Practice address
561 THORNTON RD, LITHIA SPRINGS, GA 30122-1558
(770) 899-4648
Mailing address
7302 TIMBER SHOALS WAY, DOUGLASVILLE, GA 30134-6483
(770) 899-4648
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
APC00681
GA
Other
Enumeration date
01/21/2020
Last updated
01/25/2020
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