Organization · Type 2 NPI

Jacob's Ladder Neurodevelopmental Learning Center

Professional Counselor · Roswell, GA

NPI number 1871818641 Active

Practice location

407 Hardscrabble Rd
Roswell, GA 30075-1417

Fax (770) 998-3258

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XMSW006914 (GA)
Professional Counselor Primary 101YP2500XLPC004163 (GA)
School Psychologist 103TS0200X09634048 (GA)
Clinical Social Worker 1041C0700XMSW006790 (GA)
Pediatric Physical Therapist 2251P0200XPT010499 (GA)
Pediatric Physical Therapist 2251P0200XPT002001 (GA)
Pediatric Occupational Therapist 225XP0200X1059 (GA)
Pediatric Occupational Therapist 225XP0200XOT005584 (GA)
Speech-Language Pathologist 235Z00000XSLP007882 (GA)

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About NPI 1871818641

Jacob's Ladder Neurodevelopmental Learning Center's National Provider Identifier is 1871818641, issued on Apr 5, 2010. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Roswell, GA. The record was last updated on Nov 23, 2015.