Individual
MRS. HETAL PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASTERS ASSOCIATE
Contact information
Practice address
110 SAMARITAN DR. SUITE 203, SUITE 203, CUMMING, GA 30040-3004
(229) 454-0953
(229) 346-3665
Mailing address
4435 BALSAM BARK DR, CUMMING, GA 30028-3612
(229) 454-0953
(229) 890-2289
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
001300
GA
101Y00000X
Counselor
Primary
LPC005135
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPC005135
LPC
GA
Enumeration date
11/20/2007
Last updated
12/07/2022
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