| NPI | 1619756004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICE AMANDA MILLER Licensed Professional Counselor 478-689-6358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2023-09-25 |
| Last Update Date | 2023-09-25 |