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Individual

MS. GEORCOL L GOMILLION

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
285 W WIEUCA RD NE # 4260, ATLANTA, GA 30342-3321
(404) 852-0794
Mailing address
285 W WIEUCA RD NE # 4260, ATLANTA, GA 30342-3321
(404) 852-0794

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC013763
GA

Other

Enumeration date
05/25/2017
Last updated
05/22/2023
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