Individual provider · Type 1 NPI

Ian James Mudge, L.P.C.

Professional Counselor · Stone Mountain, GA

NPI number 1700414539 Active

Practice location

5320 Cumberland Way
Stone Mountain, GA 30087-4211

Call (862) 201-3495 Map

Other practice locations

  • 2999 Piedmont Rd NE Ste 100, Atlanta, GA 30305-2792 · (862) 201-3495

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Professional Counselor Primary 101YP2500XLPC013731 (GA)

Professional Counselor: Definition to come...

Other professional counselor providers in Stone Mountain

See all in Stone Mountain →

About NPI 1700414539

Ian James Mudge, L.P.C.'s National Provider Identifier is 1700414539, issued on Mar 28, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Stone Mountain, GA. The record was last updated on Jul 11, 2024.