Individual
MR. EDWIN W. NASH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
122 CHERRY ST NE, MARIETTA, GA 30060-7206
(770) 333-6592
(770) 938-5352
Mailing address
3691 NORWICH DR, TUCKER, GA 30084-3916
(770) 333-6592
(770) 938-5352
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
NO LICENSE PROVIDED
—
101YP2500X
Professional Counselor
Primary
000887
GA
106H00000X
Marriage & Family Therapist
000500
GA
Other
Enumeration date
11/20/2008
Last updated
11/20/2008
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