NPI age
5 years
Enumerated 2021-01-16
Across 162 active counselor providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (VI) | 2-15939-IL | COMMERCIAL LICENSE |
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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