Innovative Counseling Solutions | |
308 Shorter Ave Nw Rome GA 30165-4268 | |
(706) 295-0440 | |
(706) 368-6971 |
Full Name | Innovative Counseling Solutions |
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Speciality | Counselor - Professional |
Location | 308 Shorter Ave Nw, Rome, Georgia |
Authorized Official Name and Position | Gerald D. Jennings (COUNSELOR) |
Authorized Official Contact | 7062902665 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Innovative Counseling Solutions 308 Shorter Ave Nw Rome GA 30165-4268 Ph: (706) 295-0440 | Innovative Counseling Solutions 308 Shorter Ave Nw Rome GA 30165-4268 Ph: (706) 295-0440 |
NPI Number | 1669569158 |
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Provider Enumeration Date | 10/06/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669569158 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LPC000736 (Georgia) | Primary |
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