Individual
DANIELLE MABEUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
518 BLUE MOUNTAIN RISE, CANTON, GA 30114-5713
(770) 354-2672
Mailing address
518 BLUE MOUNTAIN RISE, CANTON, GA 30114-5713
(770) 354-2672
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC012924
GA
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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