Organization
CREEKSIDE COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MONICA GIBSON RICH LCSW (LICENSED CLINICAL SOCIAL WORKER)
(912) 506-1587
Entity
Organization
Contact information
Practice address
7 SAINT ANDREWS CT, BRUNSWICK, GA 31520-6764
(912) 267-0774
Mailing address
PO BOX 2480, DARIEN, GA 31305-2480
(912) 506-1587
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/10/2019
Last updated
10/10/2019
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