NPI age
19 years
Enumerated 2006-06-10
Across 786 active counselor providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 973 | PSYCHOLOGY LICENSE |
| 05 (GA) | 00472821B |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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