Individual
FAIZA ALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
510 BRUIN CT, STOCKBRIDGE, GA 30281-7791
(404) 692-1079
Mailing address
510 BRUIN CT, STOCKBRIDGE, GA 30281-7791
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC014228
GA
Other
Enumeration date
11/09/2023
Last updated
11/09/2023
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