Jivanda Vermell Gregg LPC

NPI 1346415569 - Counselor - 101YP2500X

NPI Details
NPI 1346415569
Gender Female
Enumeration Date 04/29/2008
Last Updated 04/29/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
2700 CUMBERLAND PKWY SE
SUITE 120
ATLANTA GA, 30339-3321, US
Phone (770) 431-0299
Fax (186) 641-6176
Business Location
2854 AXTON CV
LITHIA SPRINGS GA, 30122-2911, US
Phone (770) 789-6403
Fax (678) 945-0177
Toxanomy
Taxonomy Code 101YP2500X
License State Georgia
License Number 005239
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According to our database, Ms. Jivanda Vermell Gregg LPC NPI is 1346415569, taxonomy code is 101YP2500X and license number is 005239, license state is located at Georgia. Jivanda Vermell Gregg LPC physically located at 2700 Cumberland Pkwy Se, Atlanta GA, 30339-3321. NPI Number Jivanda Vermell Gregg LPC has the Individual type.

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1346415569 NPI number is provided on an as is basis without warranty of any kind. 1346415569 is maintained by the National Plan & Provider Enumeration System. The contents of Jivanda Vermell Gregg LPC are for informational purposes only.