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GERALD D. JENNINGS PHD LPC NPI 1669569158


NPI Information

NPI: 1669569158
Provider Name: GERALD D. JENNINGS, PHD, LPC

Doing Business As: INNOVATIVE COUNSELING SOLUTIONS

Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
308 SHORTER AVE NW
ROME, GA
ZIP 30165
Phone: (706) 295-0440
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GERALD D. JENNINGS, PHD, LPC is a professional counselor in Rome, GA. GERALD D. JENNINGS, PHD, LPC NPI is 1669569158. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Innovative Counseling Solutions.

The provider's business location address is:

308 SHORTER AVE NW
ROME, GA
ZIP 30165-268
Phone: (706) 295-0440
Fax: (706) 368-6971

The provider's authorized official is Gerald D. Jennings .
The authorized official title is Counselor and has the following contact phone number (706) 290-2665.

The enumeration date for this NPI number is 10/6/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessionalLPC000736GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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