Individual provider · Type 1 NPI
Constance Chenelle Fields, APC
Mental Health Counselor · Berkley Lake, GA
NPI number
1891539003
Active
Practice location
4720 Peachtree Industrial Blvd, Bldg 400, Ste 4201
Berkley Lake, GA 30071
Mailing address
1435 Haynes Trace Ct
Grayson, GA 30017-2898
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | APC008629 (GA) |
Mental Health Counselor: Definition to come...
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About NPI 1891539003
Constance Chenelle Fields, APC's National Provider Identifier is 1891539003, issued on Jun 21, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Berkley Lake, GA. The record was last updated on Jun 21, 2024.