Organization · Type 2 NPI
First Victory Baptist Church
Mental Health Counselor · College Park, GA
NPI number
1306005103
Active
Practice location
5461 Stonewall Tell Rd
College Park, GA 30349-2458
Mailing address
PO Box 839
Red Oak, GA 30272-0839
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1306005103
First Victory Baptist Church's National Provider Identifier is 1306005103, issued on Jun 5, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in College Park, GA. The record was last updated on Jun 5, 2008.