Individual
ANNA E. PACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
300 BROADWAY AVE, BRASELTON, GA 30517
(470) 208-3080
Mailing address
PO BOX 637, BRASELTON, GA 30517-0011
(470) 208-3080
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC009246
GA
Other
Enumeration date
10/18/2016
Last updated
10/18/2016
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