Jessica Charise Canteen, MED, MHC, LPC, CEP Valid NPI
Individual provider · Professional Counselor · Mableton, GA
- NPI
- 1669056131
- Type
- Individual (Type 1)
- Primary specialty
- Professional Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YP2500X
- License number
- LPC012698 (GA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2021-05-10
- Last updated
- 2025-01-18
Practice location
5284 Floyd Rd Sw Unit 767
Mableton, GA 30126-6107
(678) 460-6334