Individual
CYNTHIA GAULTNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
325 N MILLEDGE AVE, ATHENS, GA 30601-3805
(706) 202-6952
Mailing address
325 N MILLEDGE AVE, ATHENS, GA 30601-3805
(706) 202-6952
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC007491
GA
Other
Enumeration date
03/01/2016
Last updated
03/01/2016
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