person
Jesse Lewallen
Professional Counselor in Dawsonville, Georgia
NPI 1164929980

Jesse Lewallen is a Professional Counselor based in Gainesville, GA and is specialized in Professional. Jesse Lewallen practices in Dawsonville, GA. The NPI Number for Jesse Lewallen is 1164929980 and holds a License No. LPC010143 (Georgia).

The current practice location address for Jesse Lewallen is 671 Lumpkin Campground Rd S, Dawsonville, GA and can be reached out via phone at 678-866-8777.

Location: 671 Lumpkin Campground Rd S, Dawsonville, GA, 30506-6517
person
Provider Profile Details
NPI Number
1164929980
Provider Name
Jesse Lewallen
Credential
Provider Entity Type
Individual
Gender
Male
Address
671 Lumpkin Campground Rd S, Dawsonville, GA, 30506-6517
Phone Number
678-866-8777
Fax Number
Provider Enumeration Date
04/09/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LPC010143 05 GA
institution
Provider Business Practice Location Address Details
Address
671 Lumpkin Campground Rd S
City
State
Zip
30534-0922
Phone Number
678-866-8777
Fax Number
person
Provider Business Mailing Address Details
Address
671 Lumpkin Campground Rd S
City
State
Zip
30534-0922
Phone Number
678-866-8777
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LPC010143 (Georgia)
Definition
Definition to come...
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