Individual provider · Type 1 NPI

Annalisa Derenthal, MS, LPC, NCC

Professional Counselor · Roswell, GA

NPI number 1780880690 Active

Practice location

11285 Elkins Rd, D-4
Roswell, GA 30076-1259

Call (678) 431-3901 Map

Fax (770) 521-0512

Mailing address

530 Jon Scott Dr
Alpharetta, GA 30004-2125

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC004373 (GA)

Professional Counselor: Definition to come...

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About NPI 1780880690

Annalisa Derenthal, MS, LPC, NCC's National Provider Identifier is 1780880690, issued on Jun 26, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Roswell, GA. The record was last updated on Jul 8, 2007.