DR. PATRICE EUSTACHE JUCKS EDD LPC NPI 1063717197

NPI Information

NPI: 1063717197
Provider Name: DR. PATRICE EUSTACHE JUCKS, EDD, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
2655 DALLAS HWY SW
STE 530
MARIETTA, GA
ZIP 30064
Phone: (678) 919-1077
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DR. Patrice Eustache Jucks, EDD, LPC is a professional counselor in Marietta, GA. DR. Patrice Eustache Jucks, EDD, LPC NPI is 1063717197. 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:

2655 DALLAS HWY SW
STE 530
MARIETTA, GA
ZIP 30064-597
Phone: (678) 919-1077

The enumeration date for this NPI number is 1/20/2011 and was last updated on 10/31/2013.

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
1	101YP2500X	Counselor	Professional	LPC005669	GEORGIA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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