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Organization

INTEGRATED COUNSELING, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PATT P SHIPP LPC MAC (CEO/PRESIDENT)
(770) 540-8149
Entity
Organization

Contact information

Practice address
4347 MUNDY MILL RD STE A2, OAKWOOD, GA 30566-2560
(770) 540-8149
(678) 343-9490
Mailing address
4347 MUNDY MILL RD STE A2, OAKWOOD, GA 30566-2560
(770) 540-8149
(678) 343-9490

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
LPC004304
GA

Other

Enumeration date
01/09/2017
Last updated
01/09/2017
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