| NPI | 1366055725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICCKAY NATSON Christian Psychologist 912-660-9760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP1600X Counselor Pastoral |
| Additional Taxonomies | 101Y00000X Counselor |
| 103T00000X Psychologist | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2020-08-26 |