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Organization

LOW COUNTRY COUNSELING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ANDREA MAMALAKIS EPTING LPC, MAC (AGENCY DIRECTOR)
(912) 507-8576
Entity
Organization

Contact information

Practice address
10 CHESTLEY PL, SAVANNAH, GA 31406-4200
(912) 507-8576
Mailing address
10 CHESTLEY PL, SAVANNAH, GA 31406-4200
(912) 507-8576

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LPC005849
GA
101YP2500X
Professional Counselor
Primary
LPC005849
GA

Other

Enumeration date
01/09/2010
Last updated
09/18/2012
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