Provider Demographics
NPI:1386324218
Name:VAUNADO, JEMAL II (GC)
Entity type:Individual
Prefix:MR
First Name:JEMAL
Middle Name:
Last Name:VAUNADO
Suffix:II
Gender:M
Credentials:GC
Other - Prefix:
Other - First Name:JAY
Other - Middle Name:
Other - Last Name:VAUNADO
Other - Suffix:II
Other - Last Name Type:Professional Name
Other - Credentials:GC
Mailing Address - Street 1:18 RIDGE RUN SE APT F
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30067-2803
Mailing Address - Country:US
Mailing Address - Phone:313-819-0080
Mailing Address - Fax:
Practice Address - Street 1:320 KENNESTONE HOSPITAL BLVD STE 216
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30060-1140
Practice Address - Country:US
Practice Address - Phone:470-793-7472
Practice Address - Fax:770-999-2323
Is Sole Proprietor?:No
Enumeration Date:2023-07-25
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor