Organization · Type 2 NPI

Promedica, Inc.

Mental Health Counselor · Loganville, GA

NPI number 1922036508 Active

Practice location

2430 Tucker Dr, Bldg A
Loganville, GA 30052-4390

Call (770) 554-8812 Map

Fax (770) 554-9810

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X029689 (GA)

Mental Health Counselor: Definition to come...

3 other providers at this address

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About NPI 1922036508

Promedica, Inc.'s National Provider Identifier is 1922036508, issued on Jun 30, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Loganville, GA. The record was last updated on Apr 28, 2008.