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Jaime Penn

Counselor, Mental Health in Augusta, GA. Individual provider (NPI-1).

NPI number1003532003
StatusActive
Last updated in NPPESOct 12, 2022

Details

NPI
1003532003
Entity type
Individual (NPI-1)
Name
Ms. Jaime Penn
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 12, 2022
Certification date
Oct 12, 2022
Last updated
Oct 12, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes

Practice location

2226 Acapulco Dr Apt C
Augusta, GA 30906-2376

Phone 706-750-9442

Mailing address

Po Box 16441
Augusta, GA 30919-2441

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