NPI age
17 years
Enumerated 2009-03-27
Across 7547 active counselor providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 11968290 | CAQH/GUHP PROVIDER IDENTIFICATION NUMBER |
| 05 (GA) | 847805426B |
Single-site organization. Only one practice location on file.
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