Individual
DANA E. TATUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, CCHP
Contact information
Practice address
1060 GAINES SCHOOL RD STE B3, ATHENS, GA 30605-6323
(678) 213-2194
Mailing address
4255 WADE GREEN RD NW STE 414, KENNESAW, GA 30144-1763
(678) 213-2194
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC003384
GA
Other
Enumeration date
10/04/2019
Last updated
10/04/2019
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