Organization · Type 2 NPI
Douglasville Outpatient Psychological Services
Professional Counselor · Marietta, GA
NPI number
1902276686
Active
Practice location
2722 Stillwater Lake Ln
Marietta, GA 30066-7906
Fax (770) 578-1006
Mailing address
8304 Office Park Dr
Douglasville, GA 30134-6935
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPC007582 (GA) |
Professional Counselor: Definition to come...
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About NPI 1902276686
Douglasville Outpatient Psychological Services's National Provider Identifier is 1902276686, issued on Oct 7, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Marietta, GA. The record was last updated on Oct 7, 2015.