Organization
MARY HINES-BONE, M.ED, LPC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY HINES-BONE M.ED, LPC (OWNER)
(404) 480-0430
Entity
Organization
Contact information
Practice address
85 GOLF CREST DR, SUITE 309, ACWORTH, GA 30101-2698
(404) 480-0430
Mailing address
178 GARLAND ROSE LN, DALLAS, GA 30157-5002
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC007481
GA
Other
Enumeration date
09/12/2014
Last updated
09/12/2014
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