Organization
CARLY DALE COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLY DALE LCSW (OWNER)
(678) 936-5988
Entity
Organization
Contact information
Practice address
370 CLOVER ST, ATHENS, GA 30606-2606
(678) 936-5988
Mailing address
370 CLOVER ST, ATHENS, GA 30606-2606
(678) 936-5988
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/23/2023
Last updated
01/23/2023
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