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Individual

ELIZABETH GRAY CARTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
659 AUBURN AVE NE, ATLANTA, GA 30312-5412
(678) 613-7288
Mailing address
659 AUBURN AVE NE APT 228, ATLANTA, GA 30312-1980
(678) 613-7288

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
APC006178
GA
101YM0800X
Mental Health Counselor
Primary
LPC012223
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LPC012223
LPC LICENSE NUMBER
GA
Enumeration date
02/13/2018
Last updated
03/01/2022
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