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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