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Individual

BENJAMIN HANCOCK HEATH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC, M.A.

Contact information

Practice address
1640 POWERS FERRY RD SE STE 110, MARIETTA, GA 30067-5491
(888) 551-5168
Mailing address
5619 MOUNTAIN PARK WAY, DOUGLASVILLE, GA 30135-3427
(770) 616-6673

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
APC007203
GA

Other

Enumeration date
02/21/2021
Last updated
02/21/2021
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