NPI age
18 years
Enumerated 2007-11-30
Across 237 active psychologist providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (CA) | 104571 | CALIFORNIA CERTIFICATION BOARD OF CHEMICAL DEPENDENCY COUNSELORS |
| 01 (GA) | 23783 | LPCA |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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