Organization · Type 2 NPI

Jeanne D. Wyatt, M.s.w., L.c.s.w., P.c.

Mental Health Counselor · Norcross, GA

NPI number 1467636696 Active

Practice location

5672 Peachtree Parkway,, Suite B
Norcross, GA 30092-2847

Fax (770) 449-4123

Mailing address

5672 Peachtree Parkway, Suite B
Norcross, GA 30092-2847

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X001696 (GA)

Mental Health Counselor: Definition to come...

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About NPI 1467636696

Jeanne D. Wyatt, M.s.w., L.c.s.w., P.c.'s National Provider Identifier is 1467636696, issued on Dec 24, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Norcross, GA. The record was last updated on Dec 24, 2007.