Individual
IDORENYIN NSENTIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
690 COURTENAY DR NE, ATLANTA, GA 30306-3421
(404) 375-8373
(404) 892-1770
Mailing address
1017 LANDING PT, STOCKBRIDGE, GA 30281-9066
(678) 522-1569
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC015017
GA
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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