| NPI | 1609307834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ANN RANICKI Owner 912-748-6463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC006682) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA APC005533) |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2017-03-21 |