NPI age
11 years
Enumerated 2015-01-15
Across 5527 active counselor providers in Georgia.
3 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003189544A | |
| 01 | 1073902938 | NPPES |
| 01 | 1073902938 | NPI |
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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