| Doctor Name: | LEANNE JAMISON |
| NPI Number: | 1093043432 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, NCC, LPC |
| License Number: | LPC005743 |
| Business Practice Address: | 55 Jonesboro St Mcdonough, GA - 302533164 |
| Business Phone Number: | 4045104691 |
| Business Fax Number: | |
| Mailing Address: | 772 Emerald Forest Cir, LAWRENCEVILLE |
| State: | GA |
| Postal Code: | 300445851 |
| Phone Number: | 4045104691 |
| Fax Number: | |
| NPI Enumeration Date: | 11/23/2009 |
| NPI Last Update Date: | 11/23/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | LPC005743 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |