Organization
ATLANTA COUNSELING & DIAGNOTICS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRELL WALKER LPC (OWNER/OPERATER)
(770) 676-0589
Entity
Organization
Contact information
Practice address
2090 SUGARLOAF PKWY STE 115, LAWRENCEVILLE, GA 30045-9402
(770) 658-4833
Mailing address
2090 SUGARLOAF PKWY STE 115, LAWRENCEVILLE, GA 30045-9402
(770) 676-0589
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
007754
GA
101YP2500X
Professional Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003153183B
—
GA
05
—
003230686A
—
GA
Enumeration date
03/10/2015
Last updated
12/23/2022
Update your record
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