Individual
CHRISTIAN E FORDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
139 MONTEGO BAY RD NW, MILLEDGEVILLE, GA 31061-9484
(762) 333-5734
Mailing address
139 MONTEGO BAY RD NW, MILLEDGEVILLE, GA 31061-9484
(762) 333-5734
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC014182
GA
Other
Enumeration date
02/06/2024
Last updated
02/06/2024
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