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1104525047
JAKEISHA JANA AUSTIN
ATLANTA, GA
NPI
1104525047
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Professional Name
N/A N/A N/A
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: GA LPC012651)
Enumeration Date
2023-02-28
Last Update Date
2023-02-28
Business Address
JAKEISHA JANA AUSTIN LPC
450 PIEDMONT AVE NE
ATLANTA, GA 30308-3455
Phone number: 404-375-5295
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Mailing Address
JAKEISHA JANA AUSTIN LPC
450 PIEDMONT AVE NE
ATLANTA, GA 30308-3455
Phone number: 404-375-5295
Copy
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