Individual
PRINCESS KOLLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1030 FAYETTEVILLE RD SE, ATLANTA, GA 30316-2921
(470) 954-0008
Mailing address
1030 FAYETTEVILLE RD SE, ATLANTA, GA 30316-2921
(404) 486-9036
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
GA
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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