DAKOTA JACK FIDRAM

ATLANTA, GA
NPI1518599729
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: GA  LPC015411)
Enumeration Date2020-02-05
Last Update Date2025-02-14
Business Address
DAKOTA JACK FIDRAM LPC
3300 BUCKEYE RD STE 349
ATLANTA, GA 30341-4238
Phone number: 678-400-4441
Mailing Address
DAKOTA JACK FIDRAM LPC
3300 BUCKEYE RD STE 349
ATLANTA, GA 30341-4238
Phone number: 678-400-4441