Individual
NICKESHA MELISA DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1976 FLAT SHOALS RD SE STE A, ATLANTA, GA 30316-2857
(678) 856-0471
Mailing address
2121 WINDY HILL RD APT 712, MARIETTA, GA 30060-6451
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/21/2020
Last updated
08/21/2020
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