Individual provider · Type 1 NPI

Michael James Cudmore, LPC

Mental Health Counselor · Roswell, GA

NPI number 1174639207 Active

Practice location

11050 Crabapple Rd, Suite D 113-A
Roswell, GA 30075-2489

Mailing address

2607 Hawthorne Dr NE
Atlanta, GA 30345-1327

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLPC002559 (GA)

Mental Health Counselor: Definition to come...

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About NPI 1174639207

Michael James Cudmore, LPC's National Provider Identifier is 1174639207, issued on Aug 22, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Roswell, GA. The record was last updated on Jul 8, 2007.