Individual
AVERY ROSSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2330 SCENIC HWY S, SNELLVILLE, GA 30078-3115
(770) 629-8669
Mailing address
2175 HIGHPOINT RD STE 122, SNELLVILLE, GA 30078-3189
(770) 629-8669
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC009368
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003190224A
—
GA
Enumeration date
02/15/2017
Last updated
08/07/2019
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