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DR. CHRISTINE JO JENNINGS PSY.D.

Clinical Child & Adolescent >> Psychologist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1285969089

Individual Registrant:
DR. CHRISTINE JO JENNINGS PSY.D.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
406 N MAIN ST  LA FAYETTE, GA 30728-2424 US
Tel: 706-638-2339  Fax: 706-638-7400

Contact information for business:
PO BOX 1085  LA FAYETTE, GA 30728-1085 US
Tel: 706-638-2339  Fax: 706-638-7400

Registration Information:
NPI: 1285969089
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103TC2200XBehavioral Health & Social Service Providers
Psychologist
Clinical Child & Adolescent
GA001559

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
00484811CGA05




HEALTH CARE JOBS GA - Page 1



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