Individual
ALEXANDRA KELLY BLIZZARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4015 S COBB DR SE, SUITE 100, SMYRNA, GA 30080-6303
(706) 623-8439
Mailing address
4015 S COBB DR SE, SUITE 100, SMYRNA, GA 30080-6303
(706) 623-8439
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC003036
GA
Other
Enumeration date
04/24/2013
Last updated
01/22/2018
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