Organization
JO D FADDIS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JO D FADDIS LMFT (MARRIAGE & FAMILY THERAPIST)
(404) 325-0738
Entity
Organization
Contact information
Practice address
2310 BRIARCLIFF RD NE, ATLANTA, GA 30329-2802
(404) 325-0738
Mailing address
2310 BRIARCLIFF RD NE, ATLANTA, GA 30329-2802
(404) 325-0738
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
000295
GA
Other
Enumeration date
08/30/2012
Last updated
08/30/2012
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