| NPI | 1902287949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE JEFFERSON DAVIS Owner/Professional Counselor 770-283-7949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: GA LPC006483) |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2021-06-09 |