NPI age
18 years
Enumerated 2007-06-08
Across 1686 active counselor providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (NC) | 6103769 | |
| 01 (NC) | 146EV | BCBS |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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