Paul, Jerrurod

Paul, Jerrurod is an individual health care provider with primary practice located at 2611 Redding Rd Ne , Brookhaven GA 30319-2905. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Paul, Jerrurod can be contacted via phone (770) 882-7091.

Contact Information

Primary practice address
2611 Redding Rd Ne Brookhaven GA 30319-2905
Phone: (770) 882-7091
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-19-85867 Georgia
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X 19-85867 Georgia
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC014551 Georgia

Profile Details

NPI number 1508422726
LBN Legal business name Paul, Jerrurod
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2019
Last updated Jul 23rd, 2024 - about 2 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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