Organization
FRESH START COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA LEE LPC (PARTNER)
(912) 486-7590
Entity
Organization
Contact information
Practice address
326 MYRTLE CROSSING DR, SUITE 200, STATESBORO, GA 30458-4429
(912) 489-7590
(912) 489-3877
Mailing address
326 MYRTLE CROSSING DR, SUITE 200, STATESBORO, GA 30458-4429
(912) 489-7590
(912) 489-3877
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC005560
GA
106H00000X
Marriage & Family Therapist
MFT000892
GA
Other
Enumeration date
08/02/2010
Last updated
08/02/2010
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