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Organization
PIERIAN SPRING COUNSELING LLC
Active
Organization
PIERIAN SPRING COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATASHA ABRAHAM (LPC)
(706) 836-3193
Entity
Organization
Contact information
Practice address
4210 COLUMBIA RD, SUITE 5D, MARTINEZ, GA 30907-0401
(706) 836-3193
Mailing address
4210 COLUMBIA RD, SUITE 5D, MARTINEZ, GA 30907-0401
(706) 836-3193
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC009282
GA
101YM0800X
Mental Health Counselor
LPC009282
GA
101YP2500X
Professional Counselor
Primary
LPC009282
GA
Other
Enumeration date
11/14/2016
Last updated
11/14/2016
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