Organization
ABIDE INTEGRATIVE COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANDEQUIA WYATT LPC (OWNER)
(678) 536-1831
Entity
Organization
Contact information
Practice address
6636 SKY LEAF LN, FAIRBURN, GA 30213-6527
(706) 466-2943
Mailing address
6636 SKY LEAF LN, FAIRBURN, GA 30213-6527
(706) 466-2943
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
05/06/2024
Last updated
06/18/2024
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