Individual
MISAEL GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APC
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(678) 209-2394
Mailing address
1292 INDIAN WAY NW, LILBURN, GA 30047-3784
(605) 521-4027
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
APC008983
GA
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
11/30/2022
Last updated
03/20/2023
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