NPI age
19 years
Enumerated 2007-01-23
Across 7547 active counselor providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | LPC004529 | STATE LICENSE COUNSELOR |
| 05 (GA) | 775816127A |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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