Individual provider · Type 1 NPI
Vanessa Lee Bunting, LCMT
Specialist · Villa Rica, GA
NPI number
1174716492
Active
Practice location
403 Pichmond Path
Villa Rica, GA 30180-6602
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | MT001545 (GA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
About NPI 1174716492
Vanessa Lee Bunting, LCMT's National Provider Identifier is 1174716492, issued on Aug 21, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Villa Rica, GA. The record was last updated on Aug 21, 2007.