Individual
AMINTA OSEJO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAPC, CADC II, NCC
Contact information
Practice address
1368 ATLANTA RD SE STE 111, MARIETTA, GA 30060-3936
(678) 779-3920
(678) 666-5031
Mailing address
5022 WATERFORD DR SW, MABLETON, GA 30126-1739
(678) 779-3920
(678) 666-5031
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
874
GA
101YP2500X
Professional Counselor
006149
GA
Other
Enumeration date
05/11/2017
Last updated
01/14/2020
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