Doctor Name: | MRS. HEATHER LAWRY JARRELL |
NPI Number: | 1588780357 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | LPC005672 |
Business Practice Address: | 1875 Fant Dr Fort Oglethorpe, GA - 307423307 |
Business Phone Number: | 7068061273 |
Business Fax Number: | 7068061109 |
Mailing Address: | 53 Woods Dr, CHICKAMAUGA |
State: | GA |
Postal Code: | 307076812 |
Phone Number: | 4237741466 |
Fax Number: | |
NPI Enumeration Date: | 03/22/2007 |
NPI Last Update Date: | 11/01/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LPC005672 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |