Individual
ERICA THIESSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
236 FILE ST, CLAYTON, GA 30525-3023
(706) 212-2037
(801) 437-2984
Mailing address
236 FILE ST, CLAYTON, GA 30525-3023
(706) 212-2037
(801) 437-2984
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC004881
GA
Other
Enumeration date
01/21/2010
Last updated
01/21/2010
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