Individual
IVANDA MELINDA POSTELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
700 CHURCHILL CT STE 110, WOODSTOCK, GA 30188-6880
(770) 284-9092
(678) 919-4082
Mailing address
700 CHURCHILL CT STE 110, WOODSTOCK, GA 30188-6880
(770) 284-9092
(678) 919-4082
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC005760
GA
101YP2500X
Professional Counselor
LPC005760
GA
Other
Enumeration date
01/06/2021
Last updated
08/02/2024
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