Individual provider · Type 1 NPI
Jaketra Bryant, LPC
Professional Counselor · Atlanta, GA
NPI number
1306109665
Active
Practice location
1230 Peachtree Road, Suite 1900
Atlanta, GA 30309
Mailing address
1230 Peachtree Rd, Suite 1900
Atlanta, GA 30309
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | APC002807 (GA) |
| Professional Counselor Primary | 101YP2500X | LPC007645 (GA) |
Professional Counselor: Definition to come...
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About NPI 1306109665
Jaketra Bryant, LPC's National Provider Identifier is 1306109665, issued on Jun 21, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Atlanta, GA. The record was last updated on Feb 11, 2014.