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Organization
NEXTSTEPTOWARDSUCCESS
Active
Organization
NEXTSTEPTOWARDSUCCESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TALIB A EL LPC (PRACTITIONER)
(404) 840-8335
Entity
Organization
Contact information
Practice address
8330 OFFICE PARK DR, DOUGLASVILLE, GA 30134-6937
(404) 840-8335
(770) 635-8101
Mailing address
8330 OFFICE PARK DR, DOUGLASVILLE, GA 30134-6937
(404) 840-8335
(770) 635-8101
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC007081
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003134875A
—
GA
Enumeration date
04/02/2015
Last updated
07/13/2015
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