Doctor Name: | HABIBA JESSICA TRAN |
NPI Number: | 1972855831 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LAPC |
License Number: | APC003390 |
Business Practice Address: | 2900 Chamblee Tucker Rd # 11 Suite 300h Chamblee, GA - 303414100 |
Business Phone Number: | 4048624332 |
Business Fax Number: | |
Mailing Address: | 2900 Chamblee Tucker Rd # 11, Suite 300h CHAMBLEE |
State: | GA |
Postal Code: | 303414100 |
Phone Number: | 6784292596 |
Fax Number: | |
NPI Enumeration Date: | 10/02/2012 |
NPI Last Update Date: | 10/02/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | APC003390 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |