Individual
MEGAN W BROADHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APC
Contact information
Practice address
4536 BARCLAY DR, SUITE A, ATLANTA, GA 30338-7145
(770) 458-8711
(770) 458-8640
Mailing address
4536 BARCLAY DR, SUITE A, ATLANTA, GA 30338-7145
(770) 458-8711
(770) 458-8640
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC003609
GA
Other
Enumeration date
10/18/2012
Last updated
10/18/2012
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