Individual
CASEY L CHAVIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LMFT
Contact information
Practice address
1075 ZONOLITE RD NE, STE 1A, ATLANTA, GA 30306-2013
(404) 478-9890
Mailing address
1075 ZONOLITE RD NE, STE 1A, ATLANTA, GA 30306-2013
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT001444
GA
Other
Enumeration date
01/06/2016
Last updated
01/06/2016
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