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Individual

MRS. ASHLEY ALVARADO CANNAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A., L.P.C., R.P.T.

Contact information

Practice address
464 CHEROKEE AVE SE, SUITE 202, ATLANTA, GA 30312-3260
(404) 354-7786
(775) 313-0859
Mailing address
889 COMMONWEALTH AVE SE, ATLANTA, GA 30312-3663
(404) 354-7786
(775) 313-0859

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
37PC00341800
NJ
101YP2500X
Professional Counselor
Primary
LPC005408
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
309121396A
GA
Enumeration date
09/29/2006
Last updated
12/10/2008
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