Individual
CHARITY CHARISSA LIVINGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
212 CHATOOGA DR, WOODSTOCK, GA 30188-2804
(404) 480-3158
Mailing address
212 CHATOOGA DR, WOODSTOCK, GA 30188-2804
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC013672
GA
Other
Enumeration date
05/25/2023
Last updated
05/25/2023
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