Individual provider · Type 1 NPI

Jacqueline Bays Runyan

Professional Counselor · Lawrenceville, GA

NPI number 1053677856 Active

Practice location

500 Medical Center Blvd, Suite 290
Lawrenceville, GA 30046-8708

Call (770) 962-5100 Map

Fax (770) 962-7006

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X0555526 (GA)

Professional Counselor: Definition to come...

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About NPI 1053677856

Jacqueline Bays Runyan's National Provider Identifier is 1053677856, issued on Apr 5, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lawrenceville, GA. The record was last updated on Apr 5, 2012.