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NPI Code Detail

MEDICARE: JARED SULC

MEDICARE: JARED SULC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorLPC014254GA

General Provider Information

NPI Number : 1043829831
Entity Type Code : Individual
Provider Name (Legal Business Name) : JARED SULC
Provider Business Mailing Address
First Line : 6425 POWERS FERRY RD STE 300
Second Line :
City : ATLANTA
State : GA
Zip : 30339-2908
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6425 POWERS FERRY RD STE 300
Second Line :
City : ATLANTA
State : GA
Zip : 30339-2908
Country : US
Telephone Number : 770-336-7444
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2020
Last Update Date : 11/28/2023

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Directions to “ JARED SULC ” Practice Location

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