Susan B Jung, LPC
Counselor, Professional in Conyers, GA. Individual provider (NPI-1).
NPI number1881925659
StatusActive
Last updated in NPPESMar 22, 2018
Details
- NPI
- 1881925659
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Susan B Jung
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 19, 2010
- Last updated
- Mar 22, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 003429 | GA | Yes |
| 101YP2500X | Counselor, Professional | LPC003429 | GA |
Practice location
2061 Bethel Rd NeConyers, GA 30012-1530
Phone 770-776-8446
Mailing address
2061 Bethel Rd NeConyers, GA 30012-1530
Phone 770-776-8446
Other practice locations
715 James Currie Rd
Dublin, GA 31021-1489
Dublin, GA 31021-1489
Phone 770-776-8446
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