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Organization

CARE AND COUNSELING CENTER OF GEORGIA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LYNYETTA GITTENS WILLIS PH.D., M.ED., N.C.C. (LICENSED PSYCHOLOGIST)
(404) 636-1457
Entity
Organization

Contact information

Practice address
1814 CLAIRMONT RD, DECATUR, GA 30033-3405
(404) 636-1457
(404) 636-7449
Mailing address
1814 CLAIRMONT RD, DECATUR, GA 30033-3405
(404) 636-1457
(404) 636-7449

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PSY003209
GA

Other

Enumeration date
09/12/2008
Last updated
09/12/2008
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