Individual
MRS. AMY MARIE QUARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
203 S PIEDMONT ST, CALHOUN, GA 30701-2213
(770) 547-6511
(706) 629-9352
Mailing address
203 S PIEDMONT ST, CALHOUN, GA 30701-2213
(770) 547-6511
(706) 629-9352
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC003010
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
159087
USER ID, VALUE OPTIONS
GA
01
—
52872085
PROVIDER # BCBS
GA
Enumeration date
08/24/2006
Last updated
07/08/2007
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