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Organization
NORTH FULTON COUNSELING PSYCHOTHERAPY AND CONSULTING
Active
Organization
NORTH FULTON COUNSELING PSYCHOTHERAPY AND CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY WAYNE COX ED.S. (DIRECTOR/THERAPIST)
(678) 469-1296
Entity
Organization
Contact information
Practice address
11285 EKINS ROAD SUITE, SUITE D-2, ROSWELL, GA 30076-3007
(855) 772-8884
(404) 365-3859
Mailing address
3211 CANYON POINT CIR, ROSWELL, GA 30076-5109
(678) 469-1296
(404) 365-3859
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205106085
NON MEDICAID PROVIDER
GA
01
—
1821478264
NON MEDICARE MENTAL HEALTH PROVIDER
GA
Enumeration date
06/02/2022
Last updated
06/02/2022
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