NPI age
19 years
Enumerated 2007-01-08
Across 7547 active counselor providers in Georgia.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 406922506A | |
| 05 (GA) | 539682443A |
Multi-site organization. 2 additional practice locations on file.
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