Individual
ISMAIL RAHEEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
43 AMANDA DR, DALLAS, GA 30157-6057
(706) 409-6280
Mailing address
43 AMANDA DR, DALLAS, GA 30157-6057
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC014810
GA
Other
Enumeration date
01/05/2021
Last updated
05/14/2025
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