Organization · Type 2 NPI

Broken Chains International

Mental Health Counselor · Acworth, GA

NPI number 1053727248 Active

Practice location

3950 Cobb Pkwy NW, Suite 902
Acworth, GA 30101-9532

Fax (800) 634-6360

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000X001563 (GA)
Mental Health Counselor Primary 101YM0800X09103511 (GA)
Professional Counselor 101YP2500XLPC007306 (GA)
Professional Counselor 101YP2500XAPC003606 (GA)

Mental Health Counselor: Definition to come...

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About NPI 1053727248

Broken Chains International's National Provider Identifier is 1053727248, issued on Jul 8, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Acworth, GA. The record was last updated on Jul 8, 2014.