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Organization
MENDED MATTERS COUNSELING
Active
Organization
MENDED MATTERS COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA NICOLE YOUNGER LPC (THERAPIST/OWNER)
(404) 857-4531
Entity
Organization
Contact information
Practice address
1760 LAKES PKWY UNIT 4204, LAWRENCEVILLE, GA 30043-6072
(716) 292-5661
Mailing address
4850 SUGARLOAF PKWY STE 209-317, LAWRENCEVILLE, GA 30044-2859
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000000000
NONE
—
Enumeration date
12/15/2020
Last updated
12/15/2020
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