Individual
MICHAEL JAMES CUDMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
11050 CRABAPPLE RD, SUITE D 113-A, ROSWELL, GA 30075-2489
(404) 358-7520
Mailing address
2607 HAWTHORNE DR NE, ATLANTA, GA 30345-1327
(404) 358-7520
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC002559
GA
Other
Enumeration date
08/22/2006
Last updated
07/08/2007
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