Individual provider · Type 1 NPI
Phyllis Carrera, L.P.C.
Professional Counselor · Atlanta, GA
NPI number
1154673259
Active
Practice location
1788-B Century Blvd
Atlanta, GA 30345
Mailing address
1101 Collier Rd NW, L-5
Atlanta, GA 30318-8231
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPC006957 (GA) |
Professional Counselor: Definition to come...
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About NPI 1154673259
Phyllis Carrera, L.P.C.'s National Provider Identifier is 1154673259, issued on Oct 12, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Atlanta, GA. The record was last updated on Oct 12, 2012.