Individual
MR. HERSCHEL LEE ABBOTT III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, NCC, M.ED
Contact information
Practice address
125 GOVERNORS SQ STE D, PEACHTREE CITY, GA 30269-4871
(678) 423-5500
Mailing address
171 LAKE COVE APPROACH, NEWNAN, GA 30265-5932
(678) 876-0424
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
2577
LA
101Y00000X
Counselor
LPC005681
GA
101YP2500X
Professional Counselor
Primary
LPC005681
GA
Other
Enumeration date
03/25/2010
Last updated
11/18/2024
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