Individual
REBECCA A ITTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APC, NCC
Contact information
Practice address
802 LARRY LN, DECATUR, GA 30033-4819
(404) 458-7615
Mailing address
265 W PIKE ST STE 4, LAWRENCEVILLE, GA 30046-4896
(470) 236-9864
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/17/2024
Last updated
12/17/2024
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