Individual
MRS. EVA FEDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
901 NORTH PIERCE ST, ALMA, GA 31510
(912) 632-6100
Mailing address
901 N PIERCE ST, ALMA, GA 31510-1720
(912) 632-6100
(912) 632-6146
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC006707
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053806299
NPPES
—
Enumeration date
06/29/2018
Last updated
06/29/2018
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