Individual
MR. GARY DONALD SOUDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
150A JOHNSON ST, DAHLONEGA, GA 30533-0501
(706) 864-6822
(706) 864-5858
Mailing address
4331 THURMON TANNER RD, FLOWERY BRANCH, GA 30542-2829
(678) 513-5700
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC 005194
GA
Other
Enumeration date
04/15/2009
Last updated
04/15/2009
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