Individual provider · Type 1 NPI

Jylise Lovelle Middleton, LPC

Professional Counselor · Stone Mountain, GA

NPI number 1134419104 Active

Practice location

632 Field Cliff Dr
Stone Mountain, GA 30087-4908

Call (404) 518-9028 Map

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X006167 (GA)

Professional Counselor: Definition to come...

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About NPI 1134419104

Jylise Lovelle Middleton, LPC's National Provider Identifier is 1134419104, issued on Apr 12, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Stone Mountain, GA. The record was last updated on Apr 12, 2011.