Individual
MELANIE VILLALTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
485 HUNTINGTON RD STE 197, ATHENS, GA 30606-1845
(706) 363-3352
Mailing address
220 CLAYSTONE WOODS DR, ATHENS, GA 30606-1543
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CSW006121
GA
Other
Enumeration date
11/20/2017
Last updated
11/20/2017
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