Individual
MRS. MICHELE MOORE ENDRESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
1772 CENTURY BLVD NE, ATLANTA, GA 30345-3396
(404) 248-1159
(404) 248-9776
Mailing address
1772 CENTURY BLVD NE, ATLANTA, GA 30345-3396
(404) 248-1159
(404) 248-9776
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1415
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1415
LICENSE NUMBER- LPC
GA
Enumeration date
05/09/2007
Last updated
07/08/2007
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