NPI age
20 years
Enumerated 2005-10-08
Across 7547 active counselor providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 055001241A | |
| 05 (GA) | 143288-000 | |
| 05 (GA) | 10034882 |
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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