Individual
SUNEETHA BABU MANYAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D, LPC
Contact information
Practice address
3582 OLD MILTON PKWY, ALPHARETTA, GA 30005-4465
(770) 225-3000
(770) 225-3001
Mailing address
3582 OLD MILTON PKWY, ALPHARETTA, GA 30005-4465
(770) 225-3000
(770) 225-3001
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC006149
GA
Other
Enumeration date
07/13/2011
Last updated
07/14/2011
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