Individual provider · Type 1 NPI
Jivanda Vermell Gregg, LPC
Professional Counselor · Atlanta, GA
NPI number
1346415569
Active
Practice location
2700 Cumberland Pkwy SE, Suite 120
Atlanta, GA 30339-3321
Fax (186) 641-6176
Mailing address
2854 Axton Cv
Lithia Springs, GA 30122-2911
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 005239 (GA) |
Professional Counselor: Definition to come...
2 other providers at this address
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About NPI 1346415569
Jivanda Vermell Gregg, LPC's National Provider Identifier is 1346415569, issued on Apr 29, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Atlanta, GA. The record was last updated on Apr 29, 2008.