Individual
JOHN DURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, MFT, MAC, SAP
Contact information
Practice address
1180 OLD TUCKER RD, STONE MOUNTAIN, GA 30087-3030
(770) 921-2800
Mailing address
1180 OLD TUCKER RD, STONE MOUNTAIN, GA 30087-3030
(770) 921-2800
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
002917
GA
106H00000X
Marriage & Family Therapist
38618
CA
Other
Enumeration date
08/09/2007
Last updated
05/16/2008
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