Jasmine Shantavia Arbery
Counselor, Professional in Lawrenceville, GA. Individual provider (NPI-1).
NPI number1356174635
StatusActive
Last updated in NPPESAug 22, 2024
Details
- NPI
- 1356174635
- Entity type
- Individual (NPI-1)
- Name
- Jasmine Shantavia Arbery
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 22, 2024
- Certification date
- Aug 22, 2024
- Last updated
- Aug 22, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | APC009811 | GA | Yes |
Practice location
884 Legacy Park Dr Ste 302Lawrenceville, GA 30043-8760
Phone 229-800-9695 · Fax 617-807-0958
Mailing address
Po Box 748465Atlanta, GA 30374-8465
Phone 855-284-7483 · Fax 617-807-0958
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