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STACY JAYNES ANDERSON M.ED., LPC
Mental Health >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1528029089
Individual Registrant: STACY JAYNES ANDERSON M.ED., LPC
Gender: F
Gender: F
Location and contact information for practice:
6130 PRESTLEY MILL RD SUITE A DOUGLASVILLE, GA 30134-2288 US
Tel: 770-949-9675 Fax: 770-949-9676
Tel: 770-949-9675 Fax: 770-949-9676
Contact information for business:
6130 PRESTLEY MILL RD SUITE A DOUGLASVILLE, GA 30134-2288 US
Tel: 770-949-9675 Fax: 770-949-9676
Tel: 770-949-9675 Fax: 770-949-9676
Registration Information:
NPI: 1528029089
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 101YM0800X | Behavioral Health & Social Service Providers Counselor Mental Health | GA | LPC004243 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
