Individual
NONGKHANE CAVENDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
11097 HOUZE RD, ROSWELL, GA 30076-5669
(678) 403-0112
Mailing address
220 HOLCOMBE HILL LN, MILTON, GA 30004-0863
(678) 986-7506
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC008461
GA
Other
Enumeration date
12/19/2022
Last updated
12/19/2022
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