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Organization

ADVANCED COUNSELING SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RENEA J OSENI PHD (OWNER/THERAPIST)
(678) 585-9260
Entity
Organization

Contact information

Practice address
2820 LASSITER ROAD, SUITE A-150, MARIETTA, GA 30062
(678) 585-9260
(678) 585-9261
Mailing address
2820 LASSITER ROAD, SUITE A-150, MARIETTA, GA 30062
(678) 585-9260
(678) 585-9261

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC004195
GA
106H00000X
Marriage & Family Therapist
MFT637
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
872292623A
GA
Enumeration date
10/21/2009
Last updated
10/21/2009
Update your record

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