Individual provider · Type 1 NPI

Aliesha Mumford

Mental Health Counselor · Macon, GA

NPI number 1396487302 Active

Practice location

116 Pierce Ave
Macon, GA 31204-2891

Mailing address

104 William John Ln
Bonaire, GA 31005-4314

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMSW008638 (GA)

Mental Health Counselor: Definition to come...

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About NPI 1396487302

Aliesha Mumford's National Provider Identifier is 1396487302, issued on Apr 11, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Macon, GA. The record was last updated on Apr 11, 2022.