Individual
ANSLEY MARIE BAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
202 CARROLLTON ST, BREMEN, GA 30110-2064
(770) 262-9831
Mailing address
205 BELVA ST, CARROLLTON, GA 30117-2533
(770) 262-9831
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
APC009169
GA
101YP2500X
Professional Counselor
Primary
LPC016220
GA
Other
Enumeration date
08/09/2024
Last updated
04/02/2026
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