Individual provider · Type 1 NPI

Phallon Foxworth, MA

Mental Health Counselor · Atlanta, GA

NPI number 1306463336 Active

Practice location

3700 Martin Luther King Jr Dr SW
Atlanta, GA 30331-3674

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1306463336

Phallon Foxworth, MA's National Provider Identifier is 1306463336, issued on Jun 25, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Atlanta, GA. The record was last updated on Apr 6, 2021.