Individual provider · Type 1 NPI
Jessica Hallam Anderson, LPC
Professional Counselor · Marietta, GA
NPI number
1730492232
Active
Practice location
4343 Shallowford Rd # C2
Marietta, GA 30062
Mailing address
4343 Shallowford Rd Ste C2
Marietta, GA 30062-5023
Other practice locations
- 941 Russell Ave Ste A, Gaithersburg, MD 20879-6206 · (240) 423-2336
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
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About NPI 1730492232
Jessica Hallam Anderson, LPC's National Provider Identifier is 1730492232, issued on Jul 26, 2010. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Marietta, GA. The record was last updated on Jun 6, 2018.