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Organization
SUTHERLAND PSYCHOTHERAPY ASSOCIATES, LLC
Active
Organization
SUTHERLAND PSYCHOTHERAPY ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA C BRYAN LPC,NCC,MED (OWNER)
(770) 246-2588
Entity
Organization
Contact information
Practice address
4989 PEACHTREE PKWY STE 220, NORCROSS, GA 30092-2589
(770) 246-2588
(770) 248-0537
Mailing address
4989 PEACHTREE PKWY STE 220, NORCROSS, GA 30092-2589
(770) 246-2588
(770) 248-0537
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3514
GA
Other
Enumeration date
10/02/2009
Last updated
10/02/2009
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