Male or Other

Raymond E. Jeanes LCSW

Clinical Social Worker in Atlanta, GA(View on Map)

Full Name

Raymond Edwin Jeanes LCSW

NPI Number

1437511367

NPI Type

Individual Provider

Gender

Male

Enumeration Date

03/21/2016

Specialties

(Taxonomies)

Code

1041C0700X

Primary Taxonomy

Yes

Licenses

State

Georgia
North Carolina

License Number

CSW007931
C011021

Contact
Information

Purpose

Mailing
Location

Address

730 PEACHTREE ST NE STE 570A
730 PEACHTREE ST NE STE 570A

City

Atlanta
Atlanta

State

GA
GA

Postal Code

30308-1210
30308-1210

Country

US
US

Telephone Number

(678) 805-7181
(678) 805-7181

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/07/2023

Provider Address

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