NPI age
20 years
Enumerated 2005-09-07
Across 5527 active counselor providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (FL) | Z5963 | BCBS |
| 01 (FL) | 421634908 | FEDERAL TAX ID |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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