Individual
HEATHER MATHIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
190 CAMDEN HILL RD, LAWRENCEVILLE, GA 30046-2448
(770) 513-8988
Mailing address
7208 CORAL LAKE DR, FLOWERY BRANCH, GA 30542-5595
(770) 365-6348
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC008471
GA
Other
Enumeration date
02/28/2013
Last updated
06/16/2015
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