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Organization

BROKEN CHAINS INTERNATIONAL, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KEVIN F DALY MA, BCCC, BCPC (CFO)
(678) 278-8345
Entity
Organization

Contact information

Practice address
3950 COBB PKWY NW, SUITE 902, ACWORTH, GA 30101-9532
(678) 278-8345
Mailing address
PO BOX 801096, ACWORTH, GA 30101-1096
(678) 278-8345
(800) 634-6360

Taxonomy

Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
101YP2500X
Professional Counselor
Primary
LPC008385
GA
106H00000X
Marriage & Family Therapist

Other

Enumeration date
06/22/2015
Last updated
06/22/2015
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