Individual provider · Type 1 NPI
Jayne Lynn Vandergrinten, R.N., L.P.C.
Professional Counselor · Atlanta, GA
NPI number
1447404686
Active
Practice location
2150 Peachford Rd Ste B
Atlanta, GA 30338-6539
Fax (770) 458-8656
Mailing address
2150 Peachford Rd. Suite B
Atlanta, GA 30338
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPC005070 (GA) |
| Registered Nurse | 163W00000X | RN053573 (GA) |
Professional Counselor: Definition to come...
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About NPI 1447404686
Jayne Lynn Vandergrinten, R.N., L.P.C.'s National Provider Identifier is 1447404686, issued on Nov 14, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Atlanta, GA. The record was last updated on Nov 14, 2008.