NPI 1003339599

Jennifer M Cisco, LMFT

Practitioner Marriage & Family Therapist Atlanta, GA

Practice location

Address: 386 Pine St NE, Atlanta, GA 30308-2532
Phone: (251) 753-3508
Mailing address: 106 Ozark Trl, Canton, GA 30114-8847

Registered specialties

Marriage & Family Therapist Primary

Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence MFT001566 (GA)

Other Marriage & Family Therapist providers in Georgia →

Registry record

NPI: 1003339599
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Jul 2017
Record last updated: 17 Mar 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.