Organization
FAMILY RENEWAL COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTIE M POOLE LMFT (ORGANIZER)
(770) 540-4639
Entity
Organization
Contact information
Practice address
4595 TOWNE LAKE PKWY, WOODSTOCK, GA 30189-5514
(678) 631-7639
Mailing address
4595 TOWNE LAKE PKWY, WOODSTOCK, GA 30189-5514
(678) 631-7639
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT001279
GA
Other
Enumeration date
06/07/2016
Last updated
06/07/2016
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