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Organization
PHYLLIS CARRERA
Active
Organization
PHYLLIS CARRERA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHYLLIS ANN CARRERA LPC (LICENCED PROFESSIONAL COUNSELOR)
(678) 360-6018
Entity
Organization
Contact information
Practice address
1788 CENTURY BLVD NE STE B, ATLANTA, GA 30345-3321
(678) 360-6018
Mailing address
1101 COLLIER RD NW, L-5, ATLANTA, GA 30318-8231
(678) 360-6018
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC006957
GA
Other
Enumeration date
04/13/2015
Last updated
04/13/2015
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