Individual
ELIZABETH CHAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, MBA
Contact information
Practice address
308 CLAIREMONT AVE, DECATUR, GA 30030-2506
(404) 308-8548
Mailing address
592 HARDENDORF AVE NE, ATLANTA, GA 30307-1780
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC007422
GA
Other
Enumeration date
10/24/2013
Last updated
10/24/2013
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