Individual provider · Type 1 NPI
Juanessa Donyale Booker, LPC, EDD
Professional Counselor · Fairburn, GA
NPI number
1831854827
Active
Practice location
725 Small Elk Ct
Fairburn, GA 30213-1022
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 011933 (GA) |
Professional Counselor: Definition to come...
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About NPI 1831854827
Juanessa Donyale Booker, LPC, EDD's National Provider Identifier is 1831854827, issued on Nov 3, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fairburn, GA. The record was last updated on Nov 3, 2021.