Provider Demographics
NPI:1659905594
Name:ROMANO, JENNIFER LYNN POPE (MA, APC, NCC)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:LYNN POPE
Last Name:ROMANO
Suffix:
Gender:F
Credentials:MA, APC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:317 W HILL ST STE 204C
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30030-4367
Mailing Address - Country:US
Mailing Address - Phone:678-460-6151
Mailing Address - Fax:
Practice Address - Street 1:317 W HILL ST STE 204C
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30030-4367
Practice Address - Country:US
Practice Address - Phone:678-460-6151
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-01
Last Update Date:2025-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC013224101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional