is a Professional in Dalton, Georgia. practices all healthcare services and medical treatments related to Professional. The NPI Number for is 1053578070. The last update date is .
's current location address is 900 Shugart Rd, Dalton, Georgia. You can contact this provider via phone number 7062705100. The mailing address for is 900 Shugart Rd, Dalton, Georgia. To know further, please read the information below!
Provider Profile Detail
Provider Name | |
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Address | 900 Shugart Rd, Dalton, Georgia |
Phone Number | 7062705100 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
NPI Number Detail
NPI Number | 1053578070 |
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Provider Enumeration Date | |
Last Updated Date |
Provider Mailing Address Detail
Address | 900 Shugart Rd |
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City | Dalton |
State | Georgia (GA) |
Post Code | 307202467 |
Phone Number | 7062705100 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Professional |
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Taxonomy | 101Yp2500X |
Licence No | LPC005224 |
Definition: A general counselor who helps people with personal, social, educational, and career issues. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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LPC005224 | GA | LICENSE |
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