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Individual

DOROTHY A. FONDI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, LPC, CPCS, MAC

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
508802
GA
101YM0800X
Mental Health Counselor
LPC007651
GA
101YP2500X
Professional Counselor
Primary
LPC007651
GA

Other

Enumeration date
11/15/2016
Last updated
02/12/2019
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