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Organization

WESTWIND COUNSELING SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JUSTIN BOCCUTI MS LPC (OWNER AND FOUNDER)
(770) 919-5400
Entity
Organization

Contact information

Practice address
6 JEFFERSON PKWY STE C, NEWNAN, GA 30263-3165
(470) 334-1254
Mailing address
6 JEFFERSON PKWY STE C, NEWNAN, GA 30263-3165
(770) 919-5400
(770) 765-1133

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
103T00000X
Psychologist
103TC0700X
Clinical Psychologist
103TC1900X
Counseling Psychologist
104100000X
Social Worker
1041C0700X
Clinical Social Worker
106H00000X
Marriage & Family Therapist

Other

Enumeration date
06/13/2019
Last updated
06/23/2019
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