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1710561501
AMY JACQUES
GAINESVILLE, GA
NPI
1710561501
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA LPC012102)
Enumeration Date
2021-05-08
Last Update Date
2023-03-30
Business Address
AMY JACQUES LPC, BC-DMT
610 CANDLER ST
GAINESVILLE, GA 30501-3334
Phone number: 678-632-6169
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Mailing Address
AMY JACQUES LPC, BC-DMT
3446 WINDER HWY STE M
FLOWERY BRANCH, GA 30542-3002
Phone number: 678-632-6169
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