| NPI | 1184030116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APRIL M KUNIS Lpc/Owner 678-779-9314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC007495) |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2023-11-04 |