JUANITA ANN GILLIS NPI 1417617762

NPI Information

Juanita Ann Gillis is a counselor in Decatur, GA. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Juanita Ann Gillis NPI is 1417617762. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4431 TARRAGON LN
DECATUR, GA
ZIP 30034-339
Phone: (404) 216-8104

The enumeration date for this NPI number is 12/28/2021 and was last updated on 12/28/2021.

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:

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