Individual
HABIBA JESSICA TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAPC
Contact information
Practice address
2900 CHAMBLEE TUCKER RD # 11, SUITE 300H, CHAMBLEE, GA 30341-4100
(404) 862-4332
Mailing address
2900 CHAMBLEE TUCKER RD # 11, SUITE 300H, CHAMBLEE, GA 30341-4100
(678) 429-2596
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
APC003390
GA
Other
Enumeration date
10/02/2012
Last updated
10/02/2012
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