NPI | 1649571381 |
---|---|
Entity Type | Organization |
Authorized Contact | DEIDRA E GALLOWAY-COUEY Lpc/Owner 706-232-6613 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC 003529) |
Enumeration Date | 2010-11-11 |
Last Update Date | 2010-11-11 |