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Individual

MS. JULIE RENEE EVANS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
820 EBENEZER CHURCH RD, SUITE 110, SHARPSBURG, GA 30277-2073
(404) 960-1282
(855) 817-2428
Mailing address
410 MURRY PARK, PEACHTREE CITY, GA 30269-2622
(770) 710-2173
(855) 817-2428

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
APC002868
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000601609M
GA
05
003177202A
GA
Enumeration date
12/19/2011
Last updated
08/25/2016
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