Jacqueline Elizabeth Dyer , MA, LAPC, NCC
Counselor - Professional • Marietta, GA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jacqueline Dyer has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Jacqueline Dyer, MA, LAPC, NCC was a registered Counselor - Professional practicing in Marietta, GA. Throughout an active medical career spanning 8 years, Jacqueline Dyer provided care at the practice location at 4343 SHALLOWFORD RD BLDG C until profile deactivation on 2020-07-29.
Practice Location & Contact Primary Location
4343 Shallowford Rd Bldg C
Suite 2, Lower Level
Marietta, GA 300625023
Specialty Benchmarks & Practice Insights
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Practicing in Marietta, GA (6655 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 101YP2500X
Definition to come...
Career & Practice History Timeline
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Record deactivated on July 29, 2020
NPI status registered as active in NPPES database
Registered at 4343 SHALLOWFORD RD BLDG C, SUITE 2, LOWER LEVEL, MARIETTA, GA 300625023 (Tel: 4077019465)
Registered at 4343 SHALLOWFORD RD BLDG C, SUITE 2, LOWER LEVEL, MARIETTA, GA 300625023 (Tel: 4077019465)
Recorded as JACQUELINE DYER, M.A., LAPC, NCC
Counselor (License #APC003381 in GA)
First registered as active Individual Practitioner in NPPES Database.
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Mailing Address
4343 Shallowford Rd Bldg C, Suite 2, Lower Level
Marietta, GA 300625023
Phone: 4077019465
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