Individual
JUSTIN CARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, NCC
Contact information
Practice address
270 E MAIN ST STE M, CANTON, GA 30114-2759
(470) 361-9494
Mailing address
270 E MAIN ST STE M, CANTON, GA 30114-2759
(470) 361-9494
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
APC004781
GA
101YP2500X
Professional Counselor
Primary
LPC010089
GA
Other
Enumeration date
12/01/2015
Last updated
12/30/2019
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