Individual
MICHAEL LECAROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3415 OLD HIGHWAY 41, SUITE 750, KENNESAW, GA 30144-1028
(678) 574-8313
Mailing address
3415 OLD HIGHWAY 41, SUITE 750, KENNESAW, GA 30144-1028
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC003804
GA
Other
Enumeration date
08/09/2013
Last updated
08/09/2013
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