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Organization
SOUTH RIVER COUNSELING & CONSULTING, LLC
Active
Organization
SOUTH RIVER COUNSELING & CONSULTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FRANCES JILL OLDHAM LPC, NCC (THERAPIST/OWNER)
(770) 337-8591
Entity
Organization
Contact information
Practice address
1430 STARCREST DR NE, CONYERS, GA 30012-3830
(470) 252-8270
(470) 252-8270
Mailing address
1430 STARCREST DR NE, CONYERS, GA 30012-3830
(470) 252-8270
(470) 252-8270
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC007661
GA
1041C0700X
Clinical Social Worker
CSW002086
GA
Other
Enumeration date
08/01/2018
Last updated
08/01/2018
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