Individual
JOHN DAVID VANEATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, APC
Contact information
Practice address
1640 POWERS FERRY RD SE, BUILDING 16 STE 100, MARIETTA, GA 30067-5491
(678) 995-5383
Mailing address
781 HOLMES ST NW, ATLANTA, GA 30318-7623
(678) 641-4026
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC003786
GA
Other
Enumeration date
08/18/2015
Last updated
08/18/2015
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