Individual
NICK HERSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT, LPC
Contact information
Practice address
1924 CLAIRMONT RD STE 50, DECATUR, GA 30033-3450
(404) 977-8814
Mailing address
PO BOX 983, CLARKSTON, GA 30021-0983
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LPC009382
GA
106H00000X
Marriage & Family Therapist
Primary
MFT001493
GA
Other
Enumeration date
09/03/2020
Last updated
09/03/2020
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