Provider Demographics
NPI:1659711828
Name:BARTL, JENNIFER FRISCO (LMFT, CACII, CCS)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:FRISCO
Last Name:BARTL
Suffix:
Gender:F
Credentials:LMFT, CACII, CCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:779 PASLEY AVE SE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30316-2157
Mailing Address - Country:US
Mailing Address - Phone:404-308-1935
Mailing Address - Fax:
Practice Address - Street 1:779 PASLEY AVE SE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30316-2157
Practice Address - Country:US
Practice Address - Phone:404-308-1935
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-02
Last Update Date:2013-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA1801-R101YA0400X
GAMFT001058101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)