Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amy Jacques, LPC, BC-DMT

Individual provider Professional Counselor · NPI 1710561501

Amy Jacques, LPC, BC-DMT is a Professional Counselor in Gainesville, Georgia. Licensed in Georgia. Registered with an NPI since 2021.

Licensed in
GA
In the registry since
2021
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

610 Candler St
Gainesville, GA 30501-3334
Phone: (678) 632-6169
Fax: (678) 943-1197
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPC012102 (GA)

Record details

NPI number1710561501
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC , BC-DMT
Sole proprietorNo
NPI enumeratedMay 8, 2021
Last updated in NPPESMarch 30, 2023
Certification dateMay 12, 2021
Mailing address3446 Winder Hwy Ste M, Flowery Branch, GA 30542-3002

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