Individual
CARISSA DINGWALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
76 MILLENNIUM CIR, RINGGOLD, GA 30736-2775
(706) 935-5000
(706) 410-2273
Mailing address
76 MILLENNIUM CIR, RINGGOLD, GA 30736-2775
(706) 935-5000
(706) 410-2273
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC006184
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPC006184
LPC LICENSE
GA
Enumeration date
08/20/2020
Last updated
08/21/2020
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