Provider Demographics
NPI:1922982883
Name:CONTRERAS, JENNY ANDREA
Entity type:Individual
Prefix:
First Name:JENNY
Middle Name:ANDREA
Last Name:CONTRERAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2773 SPALDING DR
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30350-4623
Mailing Address - Country:US
Mailing Address - Phone:404-702-2532
Mailing Address - Fax:
Practice Address - Street 1:500 SUGAR MILL RD STE 100A
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30350-6438
Practice Address - Country:US
Practice Address - Phone:404-702-2532
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-04
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist