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Organization
NOW: NEW OPPORTUNITIES WAITING
Active
Organization
NOW: NEW OPPORTUNITIES WAITING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAMILLE A COLSON LPC, CPCS, CRC (OWNER)
(404) 909-4100
Entity
Organization
Contact information
Practice address
3774 LAVISTA RD STE 100B, TUCKER, GA 30084-5618
(404) 909-4100
Mailing address
2890 GEORGIA HIGHWAY 212 SW STE A-319, CONYERS, GA 30094-3363
(404) 909-4100
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003235684A
—
GA
Enumeration date
02/28/2022
Last updated
03/31/2022
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