Individual provider · Type 1 NPI

Mireille Etienne, LPC

Professional Counselor · Decatur, GA

NPI number 1760414387 Active

Practice location

114 New St, Suite G-4
Decatur, GA 30030-4132

Call (770) 885-2855 Map

Fax (678) 418-6540

Mailing address

1 W Court Sq, Suite 750
Decatur, GA 30030-2538

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC004290 (GA)
Mental Health Counselor 101YM0800X005172 (NY)

Professional Counselor: Definition to come...

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About NPI 1760414387

Mireille Etienne, LPC's National Provider Identifier is 1760414387, issued on Jul 6, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Decatur, GA. The record was last updated on Mar 22, 2013.