Individual
IVIE HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4305 S LEE ST STE 500, BUFORD, GA 30518-5785
(404) 590-7325
Mailing address
3644 BUTTERCUP CT, BUFORD, GA 30519-1983
(404) 590-7325
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC013113
GA
Other
Enumeration date
08/23/2022
Last updated
08/23/2022
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