| NPI | 1902502438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH KLUMP Clinical Mental Health Counseling 678-403-0112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-02-06 |
| Last Update Date | 2023-02-06 |