NPI age
5 years
Enumerated 2020-11-19
Across 7547 active counselor providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | LPC010773 | AMERIGROUP, CARESOURCE, WELLCARE, PEACHSTATE, MEDICAID |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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