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Individual

ANASTACIA SP WEBB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
5887 GLENRIDGE DR STE 230, SANDY SPRINGS, GA 30328-9929
(706) 920-2256
Mailing address
333 THE GABLES DR, MCDONOUGH, GA 30253-7460
(706) 284-9016

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
AMFT000231
GA
101YM0800X
Mental Health Counselor
Primary
MFT001385
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000606317B
GA
Enumeration date
02/11/2013
Last updated
09/13/2023
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