Individual
MR. JEMAL DOUTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
500 LANIER AVE W STE 508, FAYETTEVILLE, GA 30214-7637
(678) 489-7384
(866) 311-8215
Mailing address
PO BOX 312, FAYETTEVILLE, GA 30214-0312
(678) 489-7384
(866) 311-8215
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
000734-1
NY
106H00000X
Marriage & Family Therapist
Primary
MFT001277
GA
Other
Enumeration date
06/26/2009
Last updated
03/21/2018
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