Provider Demographics
NPI:1083474860
Name:RELATIONAL-CULTURAL COUNSELING AND CONSULTATION
Entity Type:Organization
Organization Name:RELATIONAL-CULTURAL COUNSELING AND CONSULTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:JINJOO
Authorized Official - Last Name:OH
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:678-544-2089
Mailing Address - Street 1:6205 BROOKRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:FLOWERY BRANCH
Mailing Address - State:GA
Mailing Address - Zip Code:30542-5380
Mailing Address - Country:US
Mailing Address - Phone:513-545-2773
Mailing Address - Fax:
Practice Address - Street 1:6205 BROOKRIDGE DR
Practice Address - Street 2:
Practice Address - City:FLOWERY BRANCH
Practice Address - State:GA
Practice Address - Zip Code:30542-5380
Practice Address - Country:US
Practice Address - Phone:513-545-2773
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-20
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)