Individual provider · Type 1 NPI

Juanita Ann Gillis

Counselor · Decatur, GA

NPI number 1417617762 Active

Practice location

4431 Tarragon Ln
Decatur, GA 30034-6339

Call (404) 216-8104 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XLPC009660 (GA)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1417617762

Juanita Ann Gillis's National Provider Identifier is 1417617762, issued on Dec 28, 2021. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Decatur, GA. The record was last updated on Dec 28, 2021.