| NPI | 1902463334 |
|---|---|
| Doing Business As | SEA GLASS THERAPY |
| Entity Type | Organization |
| Authorized Contact | JENNIFER YAEGER Owner/Clinical Director 678-621-1430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2019-06-11 |