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Organization
RESTORATION COUNSELING OF ATLANTA, LLC
Active
Organization
RESTORATION COUNSELING OF ATLANTA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER L STUCKERT MA MFT, LPC (MANAGER)
(678) 534-3824
Entity
Organization
Contact information
Practice address
595 COLONIAL PARK DR STE 102, ROSWELL, GA 30075-3760
(678) 534-3824
(678) 281-1690
Mailing address
102 MACY DR, ROSWELL, GA 30076-6329
(678) 534-3824
(678) 281-1690
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
305S00000X
Point of Service
LPC 004704
GA
Other
Enumeration date
12/20/2013
Last updated
04/24/2024
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