Individual
NTASHA JAIN PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(678) 209-2394
Mailing address
721 STONEBRANCH DR, LOGANVILLE, GA 30052-6246
(404) 455-6582
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC006561
GA
Other
Enumeration date
02/12/2020
Last updated
02/12/2020
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