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JULIET A SINGLETARY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LPC

Contact information

Practice address
4530 S BERKELEY LAKE RD, SUITE B, BERKELEY LAKE, GA 30071-1660
(678) 336-6797
(770) 446-5643
Mailing address
4530 S BERKELEY LAKE RD, SUITE B, BERKELEY LAKE, GA 30071-1660
(678) 336-6797
(770) 446-5643

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3566
NC
101YP2500X
Professional Counselor
008045
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003154725A
GA
01
137H0
BCBS
NC
01
2202806
CIGNA
NC
01
346038
MANAGED HEALTH NETWORK
NC
05
6102241
NC
01
7690675
AETNA
NC
Enumeration date
06/14/2005
Last updated
05/14/2015
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