Individual provider · Type 1 NPI

Phara Jerome

Mental Health Counselor · Lawrenceville, GA

NPI number 1770967127 Active

Practice location

175 Gwinnett Dr
Lawrenceville, GA 30046-8444

Call (678) 209-2394 Map

Fax (678) 212-6343

Mailing address

4140 Whitfield Oak Way
Auburn, GA 30011-4219

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X006903 (GA)

Mental Health Counselor: Definition to come...

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About NPI 1770967127

Phara Jerome's National Provider Identifier is 1770967127, issued on Jul 15, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lawrenceville, GA. The record was last updated on Jul 15, 2015.