NPI | 1538607429 |
---|---|
Entity Type | Organization |
Authorized Contact | LAURIE LEA BOERMAN Licensed Professional Counselor 470-253-0950 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC009428) |
Enumeration Date | 2017-02-10 |
Last Update Date | 2017-02-10 |