Individual provider · Type 1 NPI

Ita G. Dore

Professional Counselor · Woodstock, GA

NPI number 1427374255 Active

Practice location

409 Old Boring Ln
Woodstock, GA 30189-2495

Fax (770) 928-7558

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1427374255

Ita G. Dore's National Provider Identifier is 1427374255, issued on Apr 19, 2010. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Woodstock, GA. The record was last updated on Apr 21, 2010.