| Gwinnett Counseling, Llc | |
|
3465 Lawrenceville Suwanee Rd Suite A Suwanee GA 30024-7465 | |
| (470) 238-8587 | |
| (678) 248-9141 |
| Full Name | Gwinnett Counseling, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3465 Lawrenceville Suwanee Rd, Suwanee, Georgia |
| Authorized Official Name and Position | Shannon Jackson (COUNSELOR) |
| Authorized Official Contact | 4702388587 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gwinnett Counseling, Llc 3465 Lawrenceville Suwanee Rd Suite A Suwanee GA 30024 Ph: (470) 238-8587 | Gwinnett Counseling, Llc 3465 Lawrenceville Suwanee Rd Suite A Suwanee GA 30024-7465 Ph: (470) 238-8587 |
| NPI Number | 1396292959 |
|---|---|
| Provider Enumeration Date | 09/01/2016 |
| Last Update Date | 11/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396292959 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LPC009117 (Georgia) | Primary |
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