Individual provider · Type 1 NPI
Jaclyn Hallums, LPC
Professional Counselor · Lithonia, GA
NPI number
1528332913
Active
Practice location
6950 Carleen Ct
Lithonia, GA 30038-4609
Other practice locations
- 3643 Walton Way Ext, Building 4, Augusta, GA 30909-4507 · (706) 364-1404
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC010475 (GA) |
| Professional Counselor | 101YP2500X | None listed |
| Professional Counselor Primary | 101YP2500X | LPC010475 (GA) |
Professional Counselor: Definition to come...
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About NPI 1528332913
Jaclyn Hallums, LPC's National Provider Identifier is 1528332913, issued on Mar 2, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lithonia, GA. The record was last updated on Feb 16, 2021.