Organization
MAGNOLIA COUNSELING AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FELITA DELORES BUSH M.ED (LPC)
(470) 629-3380
Entity
Organization
Contact information
Practice address
124 S MAIN ST STE 2G, JONESBORO, GA 30236-3502
(470) 629-3380
Mailing address
124 S MAIN ST STE 2G, JONESBORO, GA 30236-3502
(470) 629-3380
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
009211
GA
163W00000X
Registered Nurse
RN076947
GA
Other
Enumeration date
11/14/2016
Last updated
11/14/2016
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