NPI age
11 years
Enumerated 2015-03-03
Across 7547 active counselor providers in Georgia.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003170682A | |
| 05 (VA) | 1659424448 |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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