Provider Demographics
NPI:1538321161
Name:GARS, JEFFREE S (DC, LCSW)
Entity Type:Individual
Prefix:
First Name:JEFFREE
Middle Name:S
Last Name:GARS
Suffix:
Gender:M
Credentials:DC, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 769281
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30076-8218
Mailing Address - Country:US
Mailing Address - Phone:770-367-6726
Mailing Address - Fax:
Practice Address - Street 1:2876 JOHNSON FERRY RD
Practice Address - Street 2:SUITE 150
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30062-8307
Practice Address - Country:US
Practice Address - Phone:770-367-6726
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-25
Last Update Date:2017-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA3028111N00000X
GACSW0056251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical