NPI age
19 years
Enumerated 2007-02-12
Across 5527 active counselor providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 1204 | LPC |
| 01 (GA) | 567 | MFT |
| 01 | 11847617 | GA LPC #1204; GA LMFT #567 |
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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