Individual
ANDREA LEIGH FARNHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT, CST
Contact information
Practice address
1057 BAXTER ST # 102, ATHENS, GA 30606-3707
(706) 534-0048
Mailing address
475 BROOKWOOD DR, ATHENS, GA 30605-3809
(706) 534-0048
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT001579
GA
Other
Enumeration date
05/15/2019
Last updated
05/15/2019
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