Individual
TIESHA HOWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
216 RAMSEY RD, ALBANY, GA 31705-6319
(229) 894-1679
Mailing address
216 RAMSEY RD, ALBANY, GA 31705-6319
(229) 894-1679
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
MFT001861
GA
Other
Enumeration date
10/04/2021
Last updated
10/04/2021
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