Individual
CHRISTIAN JAVIER CARMONA-CARLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3350 BRECKINRIDGE BLVD STE 200, DULUTH, GA 30096-4959
(770) 962-8396
Mailing address
3350 BRECKINRIDGE BLVD STE 200, DULUTH, GA 30096-4959
(770) 962-8396
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC012123
GA
Other
Enumeration date
06/08/2021
Last updated
06/08/2021
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