Individual
PHAION D MORMANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 SUN VALLEY DR STE D2, ROSWELL, GA 30076-5636
(770) 910-9162
(770) 910-9768
Mailing address
500 SUN VALLEY DR STE D2, ROSWELL, GA 30076-5636
(770) 910-9162
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/07/2023
Last updated
06/07/2023
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