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Individual

ADEELA NORTHERN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4002 HIGHWAY 78 W STE 530-133, SNELLVILLE, GA 30039-7915
(404) 490-1658
Mailing address
4002 HIGHWAY 78 W STE 530-133, SNELLVILLE, GA 30039-7915

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
106H00000X
Marriage & Family Therapist
93314
CA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
07/15/2013
Last updated
05/25/2020
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