Provider Demographics
NPI:1841567963
Name:KEY, JENNIFER ANGELA (MS, NCC, LAPC)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:ANGELA
Last Name:KEY
Suffix:
Gender:F
Credentials:MS, NCC, LAPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3126 BAYWOOD CT
Mailing Address - Street 2:
Mailing Address - City:CONYERS
Mailing Address - State:GA
Mailing Address - Zip Code:30013-6740
Mailing Address - Country:US
Mailing Address - Phone:404-664-0881
Mailing Address - Fax:770-918-8071
Practice Address - Street 1:970 MILSTEAD AVE NE
Practice Address - Street 2:
Practice Address - City:CONYERS
Practice Address - State:GA
Practice Address - Zip Code:30012-4526
Practice Address - Country:US
Practice Address - Phone:404-664-0881
Practice Address - Fax:770-918-8071
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-17
Last Update Date:2011-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAPC003152101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional