Individual
ANDREA VINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3700 MARTIN LUTHER KING JR DR SW, ATLANTA, GA 30331-3674
(404) 642-9794
Mailing address
396 BROWNLEE RD SW APT E12, ATLANTA, GA 30311-1853
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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