Individual
ANGELA CRYSTAL PACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
309 TANNER ST, CARROLLTON, GA 30117-3207
(770) 317-0796
Mailing address
310 N WHITE ST, CARROLLTON, GA 30117-2439
(770) 317-0796
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC011085
GA
Other
Enumeration date
09/13/2019
Last updated
09/27/2021
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