NPI age
20 years
Enumerated 2005-06-16
Across 7547 active counselor providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 201559520 | TID |
| 01 | 201559520 | TID |
Solo or small practice. No other active providers share this practice address in NPPES.
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