Individual
MRS. AMY GILBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2032 MAPLE STREET, CARROLLTON, GA 30117-3455
(470) 729-3332
Mailing address
1495 HORSLEY MILL RD, CARROLLTON, GA 30116-6050
(470) 729-3332
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
005959
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003100627A
—
GA
Enumeration date
10/06/2010
Last updated
08/14/2024
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