Individual
SILVANA EBONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4200 NORTHSIDE PKWY NW BLDG 14, ATLANTA, GA 30327-3007
(770) 989-1300
Mailing address
4635 BERKELEY WALK PT, BERKELEY LAKE, GA 30096-6168
(704) 340-1679
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/23/2022
Last updated
05/23/2022
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