NPI age
19 years
Enumerated 2007-01-31
Across 7547 active counselor providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 844101180A | |
| 01 (GA) | 11643300 | CAQH |
Part of a multi-provider practice. 9 other active providers share this practice address in NPPES.
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