Individual
DEBORAH H MIKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
460 W MAIN ST, SUITE101, BLUE RIDGE, GA 30513-7127
(706) 455-2490
Mailing address
1200 BEACON HILL XING, ALPHARETTA, GA 30005-2056
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC001810
GA
Other
Enumeration date
03/22/2010
Last updated
03/22/2010
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