Organization
CROSBY MITCHELL COUNSELING SERVICES LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA OREM (PRACTICE MANAGER)
(770) 233-2809
Entity
Organization
Contact information
Practice address
315 W SOLOMON ST, SUITE 210, GRIFFIN, GA 30223-3038
(770) 233-2809
(770) 233-2810
Mailing address
315 W SOLOMON ST, SUITE 210, GRIFFIN, GA 30223-3038
(770) 233-2809
(770) 233-2810
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0406
GA
101YP2500X
Professional Counselor
APC002290
GA
101YP2500X
Professional Counselor
Primary
LPC001607
GA
106H00000X
Marriage & Family Therapist
MFT001185
GA
Other
Enumeration date
09/10/2012
Last updated
09/10/2012
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