Individual
STEPHANIE M GREY-GOOSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
659 AUBURN AVE NE APT 228, ATLANTA, GA 30312-1980
(678) 562-1520
Mailing address
745 WILLOWWIND DR, LOGANVILLE, GA 30052-6602
(678) 643-2486
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC012658
GA
Other
Enumeration date
01/07/2019
Last updated
04/12/2022
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