Individual provider · Type 1 NPI
John Dury, LPC, MFT, MAC, SAP
Professional Counselor · Stone Mountain, GA
NPI number
1063604403
Active
Practice location
1180 Old Tucker Rd
Stone Mountain, GA 30087-3030
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist | 106H00000X | 38618 (CA) |
| Professional Counselor Primary | 101YP2500X | 002917 (GA) |
Professional Counselor: Definition to come...
Another provider at this address
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About NPI 1063604403
John Dury, LPC, MFT, MAC, SAP's National Provider Identifier is 1063604403, issued on Aug 9, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Stone Mountain, GA. The record was last updated on May 16, 2008.