| NPI | 1508370743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA OGLETREE SCOTT Licensed Professional Counselor 706-718-6442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL 3152) |
| Enumeration Date | 2017-11-27 |
| Last Update Date | 2017-12-06 |