Organization
WISTERIA COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYNA DUNHAM LPC (COUNSELOR)
(404) 450-2567
Entity
Organization
Contact information
Practice address
209B SWANTON WAY STE 204, DECATUR, GA 30030-3271
(404) 450-2567
Mailing address
209B SWANTON WAY STE 204, DECATUR, GA 30030-3271
(404) 450-2567
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/03/2022
Last updated
08/29/2022
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