Individual provider · Type 1 NPI
Jennifer Scott Sudderth, LPC
Professional Counselor · Athens, GA
NPI number
1245688241
Active
Practice location
745 S Milledge Ave Ste A
Athens, GA 30605-1291
Mailing address
1737 Hewell Rd NW
Dewy Rose, GA 30634-2956
Other practice locations
- 1737 Hewell Rd NW, Dewy Rose, GA 30634-2956 · (706) 371-4020
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | 012819 (GA) |
| Professional Counselor Primary | 101YP2500X | LPC012819 (GA) |
| Professional Counselor | 101YP2500X | 7371 (SC) |
Professional Counselor: Definition to come...
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About NPI 1245688241
Jennifer Scott Sudderth, LPC's National Provider Identifier is 1245688241, issued on May 31, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Athens, GA. The record was last updated on Oct 30, 2024.