Organization
JOHN'S CREEK COUNSELING, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RITA GRAYSON LCSW (PRINCIPAL)
(678) 557-4144
Entity
Organization
Contact information
Practice address
5000 RESEARCH CT, SUITE 725, SUWANEE, GA 30024-6609
(678) 557-4144
Mailing address
5000 RESEARCH CT, SUITE 725, SUWANEE, GA 30024-6609
(678) 557-4144
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW029575
GA
Other
Enumeration date
01/27/2007
Last updated
05/26/2008
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