Organization
CAPSTONE COUNSELING LLC
Active
Other names
Capstone Center for Counseling DBT and Relational Trauma
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REVA MANON KRAUS LCSW (CLINICAL DIRECTOR)
(678) 727-8126
Entity
Organization
Contact information
Practice address
9 DUNWOODY PARK, SUITE 136, ATLANTA, GA 30338-7407
(770) 744-5055
(470) 545-4382
Mailing address
9 DUNWOODY PARK, SUITE 136, ATLANTA, GA 30338-7407
(770) 744-5055
(470) 545-4382
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW004487
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003151158B
—
GA
Enumeration date
09/02/2015
Last updated
09/02/2015
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