Organization · Type 2 NPI

Self-Soulstice, LLC

Professional Counselor · Statesboro, GA

NPI number 1477959807 Active

Practice location

114 N College St
Statesboro, GA 30458-5309

Call (912) 755-7069 Map

Fax (912) 480-9733

Mailing address

111 Hawthorne Rd
Statesboro, GA 30458-6003

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC005007 (GA)

Professional Counselor: Definition to come...

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About NPI 1477959807

Self-Soulstice, LLC's National Provider Identifier is 1477959807, issued on Nov 12, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Statesboro, GA. The record was last updated on Nov 12, 2014.