NPI age
19 years
Enumerated 2006-08-01
Across 7547 active counselor providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 | 141934451 | FEDERAL TAX I.D. |
| 05 (GA) | 746440550A |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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