person
Mr. Jeremiah Grogg, MS,LPC
Professional Counselor in Evans, Georgia
NPI 1578017166

Jeremiah Grogg is a Professional Counselor based in Evans, GA and is specialized in Professional. Jeremiah Grogg practices in Evans, GA and has the professional credentials of MS,LPC. The NPI Number for Jeremiah Grogg is 1578017166 and holds a License No. LPC009114 (Georgia).

The current practice location address for Jeremiah Grogg is 601 N Belair Sq Ste 2, Evans, GA and can be reached out via phone at 706-836-1195 and via fax at 844-873-4758.

Location: 601 N Belair Sq Ste 2, Evans, GA, 30809
person
Provider Profile Details
NPI Number
1578017166
Provider Name
Jeremiah Grogg
Credential
MS,LPC
Provider Entity Type
Individual
Gender
Male
Address
601 N Belair Sq Ste 2, Evans, GA, 30809
Phone Number
706-836-1195
Fax Number
844-873-4758
Provider Enumeration Date
08/11/2016
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
003181469A 05 GA
institution
Provider Business Practice Location Address Details
Address
601 N Belair Sq Ste 2
City
State
Zip
30809-0518
Phone Number
706-836-1195
Fax Number
844-873-4758
person
Provider Business Mailing Address Details
Address
601 N Belair Sq Ste 2
City
State
Zip
30809-0518
Phone Number
706-836-1195
Fax Number
844-873-4758
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LPC009114 (Georgia)
Definition
Definition to come...
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