NPI age
12 years
Enumerated 2014-05-19
Across 7547 active counselor providers in Georgia.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 | 11739388 | CAQH |
| 05 (GA) | 401384226D | |
| 01 | 1376678839 | INDIVIDUAL NPI |
Multi-provider organization. 1 individual provider on file at this primary address.
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