Most Relevant Information
Provider Data
| NPI Number: | 1003428764 |
| Provider Name: | JESSICA RINGSMUTH |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 006449 |
Most Important Dates
| Enumeration Date: | 08/23/2020 |
| Last Updated: | 08/23/2020 |
Provider Practice Location
2376 MAIN ST STE A
TUCKER
GA
300844492
Practice Location Phone/Fax
| Phone: | 4706580710 |
| Fax: |
Provider Mailing Location
2622 REGENCY DR W
TUCKER
GA
300842331
Provider Mailing Phone/Fax
| Phone: | 4706590710 |
| Fax: |