Search › Georgia › 101YP2500X
Amy Jacques, LPC, BC-DMT
NPI 1710561501 · on the registry since 2021
Practice
- Address
- 610 Candler St
Gainesville, GA 30501 - Phone
- (678) 632-6169
- Fax
- (678) 943-1197
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-03-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia