NPI age
6 years
Enumerated 2019-05-24
Across 162 active counselor providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 222116373732 | |
| 01 (GA) | 84-1880551 | IRS |
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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