Individual provider · Type 1 NPI

Jesse Lewallen

Professional Counselor · Dawsonville, GA

NPI number 1164929980 Active

Practice location

671 Lumpkin Campground Rd S
Dawsonville, GA 30534-0922

Mailing address

5610 Lakeview Ct
Gainesville, GA 30506-6517

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC010143 (GA)

Professional Counselor: Definition to come...

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About NPI 1164929980

Jesse Lewallen's National Provider Identifier is 1164929980, issued on Apr 9, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Dawsonville, GA. The record was last updated on Apr 9, 2018.