| Doctor Name: | JESSICA CROLLEY SLOVENSKY |
| NPI Number: | 1023390309 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC, CAC II |
| License Number: | 101YA0400X |
| Business Practice Address: | 4151 Clairmont Avenue Chamblee, GA - 303413232 |
| Business Phone Number: | 4046253031 |
| Business Fax Number: | |
| Mailing Address: | Po Box 5842, ALPHARETTA |
| State: | GA |
| Postal Code: | 300235842 |
| Phone Number: | 4046253031 |
| Fax Number: | |
| NPI Enumeration Date: | 09/13/2011 |
| NPI Last Update Date: | 09/13/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 101YA0400X |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | SC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |