Individual
AISHA SIMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
265 BOULEVARD AVE., ATLANTA, GA 30312-1208
(404) 224-3728
Mailing address
265 BOULEVARD AVE., ATLANTA, GA 30312-1208
(404) 224-3728
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
004784
GA
Other
Enumeration date
09/30/2008
Last updated
09/30/2008
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