Individual
ALEXA NICOLE THAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APC
Contact information
Practice address
2336 WISTERIA DR, SNELLVILLE, GA 30078-6191
(770) 733-1469
Mailing address
1627 CONNOLLY DR NW # 1627, KENNESAW, GA 30144-6672
(678) 727-3764
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
APC009405
GA
Other
Enumeration date
02/09/2022
Last updated
01/18/2024
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