Individual
CARLA MICHELLE GERRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
82 ABBEY LN, CLEVELAND, GA 30528-6743
(770) 713-7563
Mailing address
82 ABBEY LN, CLEVELAND, GA 30528-6743
(770) 713-7563
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC006413
GA
Other
Enumeration date
02/19/2015
Last updated
02/19/2015
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