NPI age
14 years
Enumerated 2012-04-23
Across 5527 active counselor providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | LPC008285 | GEORGIA COMPOSITE BOARD |
| 01 (GA) | APC003402 | GEORGIA LICENSING BOARD |
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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