NPI age
18 years
Enumerated 2007-09-07
Across 5527 active counselor providers in Georgia.
2 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 4279383701100 | MHDDAD PROVIDER AGREEMENT |
Multi-provider organization. 2 individual providers on file at this primary address.
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