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Jimmy Enobabor
Mental Health Counselor in Lawrenceville, Georgia
NPI 1184408049

Jimmy Enobabor is a Mental Health Counselor based in Decatur, GA and is specialized in Mental Health. Jimmy Enobabor practices in Lawrenceville, GA. The NPI Number for Jimmy Enobabor is 1184408049 and holds a License No. (Georgia).

The current practice location address for Jimmy Enobabor is 175 Gwinnett Dr, Lawrenceville, GA and can be reached out via phone at 678-209-2394.

Location: 175 Gwinnett Dr, Lawrenceville, GA, 30030-1966
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184408049
Provider Name
Jimmy Enobabor
Credential
Provider Entity Type
Individual
Gender
Male
Address
175 Gwinnett Dr, Lawrenceville, GA, 30030-1966
Phone Number
678-209-2394
Fax Number
Provider Enumeration Date
08/22/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
175 Gwinnett Dr
City
Lawrenceville
State
Georgia
Zip
30046-8444
Phone Number
678-209-2394
Fax Number
person
Provider Business Mailing Address Details
Address
175 Gwinnett Dr
City
Lawrenceville
State
Georgia
Zip
30046-8444
Phone Number
678-209-2394
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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