Individual
MS. AUGUSTA H OLATIDOYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
475 FAIRBURN RD SW, ATLANTA, GA 30331-1907
(404) 691-9627
(404) 691-9793
Mailing address
5105 GLORE RD SW, MABLETON, GA 30126-2053
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC003752
GA
Other
Enumeration date
08/03/2006
Last updated
07/08/2007
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