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Individual

GABRIELLE RENE WATERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, LPC

Contact information

Practice address
136 HIGHWAY 138 SW STE 400, RIVERDALE, GA 30274-4008
(470) 269-0190
Mailing address
700 WESTPARK DR STE 200, PEACHTREE CITY, GA 30269-1620
(678) 786-2413
(678) 894-3816

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC009292
GA

Other

Enumeration date
04/19/2017
Last updated
04/29/2024
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