| NPI | 1073909198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLA CATHERINE JONES Licensed Professional Counselor 678-838-9336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: GA LPC003228) |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2015-04-15 |