Koalenz, Jessica

Koalenz, Jessica is an sole proprietor health care provider with primary practice located at 107 Enterprise Path Suite 305-2, Hiram GA 30141. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Koalenz, Jessica can be contacted via phone (678) 896-8959.

Contact Information

Primary practice address
107 Enterprise Path Suite 305-2 Hiram GA 30141
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Georgia

Profile Details

NPI number 1073036273
LBN Legal business name Koalenz, Jessica
Credentials NCC, APC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2017
Last updated Jul 21st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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