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Organization
NEW AVENUES ASSESSMENT COUNSELING CENTER
Active
Organization
NEW AVENUES ASSESSMENT COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LA TROLL THOMAS LPC, RPT, MAC (CEO)
(678) 982-4046
Entity
Organization
Contact information
Practice address
1805 OVER LAKE DR SE STE D, CONYERS, GA 30013-1790
(678) 982-4046
Mailing address
PO BOX 269, PORTERDALE, GA 30070-0269
(678) 982-4046
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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