Organization
NORTHEAST GA COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA POPE CAMPBELL LCSW (OWNER)
(770) 271-5040
Entity
Organization
Contact information
Practice address
359 PEEVY ST, BUFORD, GA 30518-3227
(770) 271-5040
Mailing address
359 PEEVY ST, BUFORD, GA 30518-3227
(770) 271-5040
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1864
GA
Other
Enumeration date
01/24/2014
Last updated
01/24/2014
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