Individual
AUDREY SHARPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1410 BATTLE ST, COLUMBUS, GA 31906-4010
(706) 327-5666
Mailing address
1410 BATTLE ST, COLUMBUS, GA 31906-4010
(706) 327-5666
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
511079
GA
101YM0800X
Mental Health Counselor
LPC006049
GA
101YP2500X
Professional Counselor
Primary
LPC006049
GA
Other
Enumeration date
11/13/2019
Last updated
11/13/2019
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