NPI age
13 years
Enumerated 2013-01-14
Across 2449 active community/behavioral health providers in Georgia.
2 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | LPC007056 | LICENSE NO. |
Multi-provider organization. 2 individual providers on file at this primary address.
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