| NPI | 1952797219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHYLLIS ANN CARRERA Licenced Professional Counselor 678-360-6018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC006957) |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2015-04-13 |