Ash, Chawanis Jefferson
Ash, Chawanis Jefferson is an sole proprietor health care provider with primary practice located at 1226 Royal Dr Sw Suite E, Conyers GA 30094-5925. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Pastoral. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Ash, Chawanis Jefferson can be contacted via phone (678) 973-1560.Contact Information
Primary practice address
1226 Royal Dr Sw Suite E
Conyers GA 30094-5925
Phone: (678) 973-1560
Fax: (706) 223-6788
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 760 | Georgia |
| Behavioral Health & Social Service Providers / Pastoral | 101YP1600X | 0 | Georgia |
Profile Details
| NPI number | 1710398805 |
|---|---|
| LBN Legal business name | Ash, Chawanis Jefferson |
| Credentials | MDIV, CADCII, ICADC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 12th, 2014 |
| Last updated | May 12th, 2014 - about 11 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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