Individual provider · Type 1 NPI

Jessica Koalenz, NCC, APC

Mental Health Counselor · Hiram, GA

NPI number 1073036273 Active

Practice location

107 Enterprise Path, Suite 305-2
Hiram, GA 30141

Call (678) 896-8959 Map

Mailing address

107 Enterprise Path Ste 305-2
Hiram, GA 30141-2689

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1073036273

Jessica Koalenz, NCC, APC's National Provider Identifier is 1073036273, issued on Jul 19, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Hiram, GA. The record was last updated on Jul 21, 2022.