Individual provider · Type 1 NPI

Jennifer Cummings Tillery, LPC, NCC

Professional Counselor · Kennesaw, GA

NPI number 1700268265 Active

Practice location

5150 Stilesboro Rd NW, Suite 430
Kennesaw, GA 30152-7744

Call (404) 433-6153 Map

Mailing address

434 Shepard Dr SW
Marietta, GA 30064-1560

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC008457 (GA)

Professional Counselor: Definition to come...

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About NPI 1700268265

Jennifer Cummings Tillery, LPC, NCC's National Provider Identifier is 1700268265, issued on Jun 22, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Kennesaw, GA. The record was last updated on Jun 22, 2015.