Individual
MRS. MARGARET GIBSON ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EDS, LPC, MAC, CAS
Contact information
Practice address
1791 WALKER RD SW, CONYERS, GA 30094-3126
(770) 760-8763
(770) 760-8765
Mailing address
1201 BEECHVIEW DR SE, ATLANTA, GA 30316-2624
(404) 583-9405
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3490
GA
Other
Enumeration date
10/05/2007
Last updated
10/05/2007
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