Organization · Type 2 NPI
Center for Awareness and Evolvement
Professional Counselor · Marietta, GA
NPI number
1629433438
Active
Practice location
1568 Cloverdale Dr
Marietta, GA 30067-7406
Mailing address
1568 Cloverdale Dr SE
Marietta, GA 30067-7406
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 001643 (GA) |
Professional Counselor: Definition to come...
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About NPI 1629433438
Center for Awareness and Evolvement's National Provider Identifier is 1629433438, issued on Dec 21, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Marietta, GA. The record was last updated on Dec 21, 2015.