Jessica Charise Canteen, MEd, MHC, LPC, CEP
Counselor, Professional in Mableton, GA. Individual provider (NPI-1).
NPI number1669056131
StatusActive
Last updated in NPPESOct 9, 2026
Details
- NPI
- 1669056131
- Entity type
- Individual (NPI-1)
- Name
- Ms. Jessica Charise Canteen
- Credential
- MEd, MHC, LPC, CEP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 10, 2021
- Certification date
- Oct 9, 2026
- Last updated
- Oct 9, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | LPC012698 | GA | Yes |
| 101YP2500X | Counselor, Professional | PC014914 | PA | |
| 101YM0800X | Counselor, Mental Health | MHC.LH.61356267 | WA | |
| 101YP2500X | Counselor, Professional | 37PC00880500 | NJ |
Practice location
5284 Floyd Rd Sw Unit 767Mableton, GA 30126-6107
Phone 678-460-6334
Mailing address
5284 Floyd Rd Sw Unit 767Mableton, GA 30126-6107
Phone 678-460-6334
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