Individual
GABRIELLA MARCHELLE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EDS, LPC
Contact information
Practice address
4712 TRADITION PKWY, ATLANTA, GA 30349-1974
(404) 510-0439
Mailing address
1788 CENTU RY BLVD, SUITE A, ATLANTA, GA 30345
(404) 510-0439
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC006554
GA
Other
Enumeration date
03/27/2012
Last updated
03/27/2012
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