Individual
MISS MIKAELA NICOLE HEARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAPC
Contact information
Practice address
2484 INGLESIDE AVE, D202, MACON, GA 31204-2089
(678) 748-0128
Mailing address
1313 OAK ST SW, ATLANTA, GA 30310-1653
(678) 748-0128
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
GA
Other
Enumeration date
09/08/2011
Last updated
01/02/2015
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