| NPI | 1386924157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE DANIEL NELSON Professional Counselor 706-975-6284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: GA LPC006115) |
| Enumeration Date | 2011-08-24 |
| Last Update Date | 2011-08-24 |