Individual
ELIZABETH REAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
120 HANDLEY RD STE 310, TYRONE, GA 30290-2173
(770) 301-1502
(770) 486-1067
Mailing address
120 HANDLEY RD STE 310, TYRONE, GA 30290-2173
(770) 301-1502
(770) 486-1067
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3643
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158209299A
—
GA
Enumeration date
01/08/2007
Last updated
10/30/2019
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