Jerriah Alexander
Individual provider Active NPI Professional Counselor · Marietta, GA
NPI 1891400958 · NPPES record last updated Jan 23, 2023
Key facts
- NPI
- 1891400958
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- APC008812 (GA)
- Practice address
- 25 Whitlock PL SW Ste 101
Marietta, GA 30064-3142 - Phone
- (855) 284-7483
- NPI assigned
- Jan 23, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APC008812 | GA | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | APC008812 | GA | Yes |
Addresses
Primary practice location
25 Whitlock PL SW Ste 101
Marietta, GA 30064-3142
Mailing address
PO Box 748465
Atlanta, GA 30374-8465
Other providers in Marietta, GA
- Tiara Aldridge
- Alere Health Improvement Company
- Alere Wellology, Inc.
- Alesya Korey
- Alexander Chiropractic Inc
- Jolia Alexander
- Khrysta Alexander
- Lisa Alexander
- Neppsi Pauline Alexander
- Robert Ross Alexander
All providers in Marietta, GA · Professional Counselor in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 23, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.