NPI age
12 years
Enumerated 2014-01-09
Across 7547 active counselor providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (SC) | 103224312 | DRIVERS LICENSE |
| 05 (SC) | 421504 |
Part of a multi-provider practice. 84 other active providers share this practice address in NPPES.
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