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Organization
SACRED MOUNTAIN PARTNERS, LLC
Active
Organization
SACRED MOUNTAIN PARTNERS, LLC
Active
Other names
First Mountain Community Services
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE ANN DALLAS LPC (EXECUTIVE DIRECTOR)
(706) 692-0131
Entity
Organization
Contact information
Practice address
340 PINE CREST RD, JASPER, GA 30143-2662
(404) 808-7740
Mailing address
340 PINE CREST RD, JASPER, GA 30143-2662
(404) 808-7740
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
003408
GA
Other
Enumeration date
06/26/2007
Last updated
08/22/2020
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