Organization
THE PROGRESSIVE COUNSELING AND THERAPY CENTER, LLC
Active
Organization
THE PROGRESSIVE COUNSELING AND THERAPY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIE JAMES CAMPBELL SR. LCSW (DIRECTOR)
(678) 592-9454
Entity
Organization
Contact information
Practice address
101 DEVANT ST, SUITE 606, FAYETTEVILLE, GA 30214-2710
(678) 592-9454
Mailing address
101 DEVANT ST, SUITE 606, FAYETTEVILLE, GA 30214-2710
(678) 592-9454
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
CSW004685
GA
Other
Enumeration date
07/04/2012
Last updated
10/02/2013
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