Individual
MRS. DEBRA PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC, CPCS
Contact information
Practice address
261 ENTERPRISE PATH, HIRAM, GA 30141-2658
(770) 812-3275
Mailing address
261 ENTERPRISE PATH, HIRAM, GA 30141-2658
(770) 812-3275
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC004431
GA
Other
Enumeration date
03/01/2017
Last updated
03/01/2017
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