| Amy Jacques Llc | |
|
610 Candler St Gainesville GA 30501-3334 | |
| (678) 632-6169 | |
| (678) 943-1197 |
| Full Name | Amy Jacques Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 610 Candler St, Gainesville, Georgia |
| Authorized Official Name and Position | Amy Jacques (DIRECTOR) |
| Authorized Official Contact | 6786326169 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amy Jacques Llc 2565 Thompson Bridge Rd Ste 111 Gainesville GA 30501-1723 Ph: (678) 632-6169 | Amy Jacques Llc 610 Candler St Gainesville GA 30501-3334 Ph: (678) 632-6169 |
| NPI Number | 1508431966 |
|---|---|
| Provider Enumeration Date | 05/26/2021 |
| Last Update Date | 03/30/2023 |
| Certification Date | 03/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508431966 | NPI | - | NPPES |
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