Individual
AMY ISEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
312 CONNOR CIR, EVANS, GA 30809-6100
(706) 955-3427
Mailing address
2467 GOLDEN CAMP RD, AUGUSTA, GA 30906-5515
(706) 790-4440
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
005188
GA
101Y00000X
Counselor
5609
SC
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
11/12/2015
Last updated
03/25/2016
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