NPI age
13 years
Enumerated 2012-09-15
Across 5527 active counselor providers in Georgia.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003204125A |
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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