Wilson Professional Counseling & Consulting, Llc

NPI 1568873420 - Counselor - 101YP2500X

NPI Details
NPI 1568873420
Enumeration Date 05/14/2014
Last Updated 05/14/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name KENYATTA KENYATTA
Position COUNSELOR
Phone (770) 820-3070
Fax
Practice Location
500 OLD BREMEN RD
SUITE 101
CARROLLTON GA, 30117-5216, US
Phone (770) 820-3070
Fax
Business Location
500 OLD BREMEN RD
SUITE 101
CARROLLTON GA, 30117-5216, US
Phone (770) 820-3070
Fax
Toxanomy
Taxonomy Code 101YP2500X
License State Georgia
License Number LPC007401
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According to our database, Wilson Professional Counseling & Consulting, Llc NPI is 1568873420, taxonomy code is 101YP2500X and license number is LPC007401, license state is located at Georgia. Wilson Professional Counseling & Consulting, Llc physically located at 500 Old Bremen Rd, Carrollton GA, 30117-5216. NPI Number 1033115704 has the healthcare provider type.

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1568873420 NPI number is provided on an as is basis without warranty of any kind. 1568873420 is maintained by the National Plan & Provider Enumeration System. The contents of Wilson Professional Counseling & Consulting, Llc are for informational purposes only.