NPI age
16 years
Enumerated 2010-02-22
Across 5527 active counselor providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (MO) | 1386966018 | |
| 01 (GA) | LPC009625 | GEORGIA LICENSED PROFESSIONAL COUNSELOR |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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