NPI age
19 years
Enumerated 2007-05-24
Across 7547 active counselor providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 6022 | LPC |
| 01 (GA) | 90791 | NBCC CERTIFICATION NUMBER |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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