Individual
MRS. HEATHER LEE CHESNUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C., N.C.C.
Contact information
Practice address
1195 JULIETTE RD, FORSYTH, GA 31029-3010
(478) 994-2120
(478) 994-1418
Mailing address
PO BOX 576, FORSYTH, GA 31029-0576
(478) 994-2120
(478) 994-1418
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4606
GA
Other
Enumeration date
06/02/2010
Last updated
06/02/2010
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