Provider Demographics
NPI:1598075921
Name:ZIESENHENNE, JENNEANE MARCELLE (MA, LPC)
Entity Type:Individual
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First Name:JENNEANE
Middle Name:MARCELLE
Last Name:ZIESENHENNE
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Gender:F
Credentials:MA, LPC
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Mailing Address - Street 1:1640 POWERS FERRY ROAD SE
Mailing Address - Street 2:BUILDING 9, SUITE 100
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30067-5491
Mailing Address - Country:US
Mailing Address - Phone:770-953-0080
Mailing Address - Fax:770-953-0031
Practice Address - Street 1:1640 POWERS FERRY ROAD SE
Practice Address - Street 2:BUILDING 9, SUITE 100
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30067-5491
Practice Address - Country:US
Practice Address - Phone:770-953-0080
Practice Address - Fax:770-953-0031
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-19
Last Update Date:2013-09-12
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Provider Licenses
StateLicense IDTaxonomies
GALPC007473101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional