Individual
MRS. NINNUBIYYA ANACIUSEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5600 SPALDING DR UNIT 921004, NORCROSS, GA 30010-4709
(404) 993-1408
Mailing address
5600 SPALDING DR UNIT 921004, NORCROSS, GA 30010-4709
(404) 993-1408
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC015320
GA
Other
Enumeration date
06/02/2022
Last updated
12/27/2024
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