| Doctor Name: | JESSICA HOCUTT |
| NPI Number: | 1073837928 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LAMFT, LAPC |
| License Number: | 002148 |
| Business Practice Address: | 3138 Golf Ridge Blvd Suite 101 Douglasville, GA - 301351943 |
| Business Phone Number: | 7703646561 |
| Business Fax Number: | |
| Mailing Address: | 2125 Lakeview Pkwy, VILLA RICA |
| State: | GA |
| Postal Code: | 301808076 |
| Phone Number: | 7703646561 |
| Fax Number: | |
| NPI Enumeration Date: | 03/22/2010 |
| NPI Last Update Date: | 03/22/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 002148 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |