Individual
MR. JUSTIN BOCCUTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS NCC LPC
Contact information
Practice address
958 JOE FRANK HARRIS PKWY SE STE 103, CARTERSVILLE, GA 30120-2158
(770) 812-3610
Mailing address
97 WESTWOOD DR, CARTERSVILLE, GA 30120-1992
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC007973
GA
Other
Enumeration date
04/11/2012
Last updated
12/10/2014
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