Individual
CHRISTINE MUJICA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2362 MAIN ST STE B, TUCKER, GA 30084-4477
(678) 634-7594
(770) 939-3734
Mailing address
2362 MAIN ST STE B, TUCKER, GA 30084-4477
(678) 634-7594
(770) 939-3734
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
MSW006093
GA
101YM0800X
Mental Health Counselor
MSW006093
GA
101YP2500X
Professional Counselor
Primary
MSW006093
GA
Other
Enumeration date
12/31/2015
Last updated
12/31/2015
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