NPI age
12 years
Enumerated 2013-09-25
Across 7547 active counselor providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (SC) | 570569761 | TAX ID |
| 05 (SC) | AD01AK |
Solo or small practice. No other active providers share this practice address in NPPES.
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