Organization
PACIFICA COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HANNA WATSON CESPEDES PH.D (OWNER AND LEAD THERAPIST)
(678) 939-6601
Entity
Organization
Contact information
Practice address
2607 VINEVILLE AVE STE 205, MACON, GA 31204-0901
(678) 939-6601
Mailing address
2607 VINEVILLE AVE STE 205, MACON, GA 31204-0901
(678) 939-6601
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/01/2023
Last updated
09/01/2023
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