Provider Demographics
NPI:1023390309
Name:SLOVENSKY, JESSICA CROLLEY (LPC)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:CROLLEY
Last Name:SLOVENSKY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:SLOVENSKY
Other - Last Name:FOUTS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:333 WEDMORE CT
Mailing Address - Street 2:
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-4329
Mailing Address - Country:US
Mailing Address - Phone:404-625-3031
Mailing Address - Fax:
Practice Address - Street 1:6470 E JOHNS XING STE 160
Practice Address - Street 2:
Practice Address - City:JOHNS CREEK
Practice Address - State:GA
Practice Address - Zip Code:30097-1500
Practice Address - Country:US
Practice Address - Phone:404-625-3031
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-13
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA101YP2500X101YP2500X
GA003367101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional