EDRA LATRELLE FAUST

DOUGLASVILLE, GA
NPI1033949342
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: GA  APC008879)
Enumeration Date2024-08-02
Last Update Date2024-08-02
Business Address
EDRA LATRELLE FAUST APC
6311 STRICKLAND ST
DOUGLASVILLE, GA 30134-1261
Phone number: 678-838-8333
Mailing Address
EDRA LATRELLE FAUST APC
6311 STRICKLAND ST
DOUGLASVILLE, GA 30134-1261
Phone number: 678-838-8333