Individual
JESSICA GREATHOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1145 ZONOLITE RD NE STE 10, ATLANTA, GA 30306-2017
(510) 967-2257
Mailing address
1145 ZONOLITE RD NE STE 10, ATLANTA, GA 30306-2017
(678) 984-9265
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
011401
GA
101YP2500X
Professional Counselor
PCCI1912
CA
Other
Enumeration date
03/12/2015
Last updated
04/09/2020
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