Jennifer Wallace Merrill, LAPC

NPI #1730466780 in Tyrone, Georgia

Provider Information

NPI Number: 1730466780
Entity Type: Individual
Name: Jennifer Wallace Merrill, LAPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: LAPC
Enumeration Date: Nov 4, 2011
Last Updated: Feb 11, 2014

Practice Location

Address: 120 HANDLEY RD
City: Tyrone
State: Georgia
ZIP Code: 30290-2177
Phone: (770) 486-1011

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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