Individual
MALLORY HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
519 BLACKBURN DR STE 523, AUGUSTA, GA 30907-8202
(706) 524-7134
Mailing address
1321 MURFREESBORO PIKE STE 702, NASHVILLE, TN 37217-2679
(615) 695-2277
(615) 577-5654
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
014929
GA
Other
Enumeration date
12/11/2018
Last updated
10/16/2024
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