Individual
AMANDA NESBITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
173 PINE TREE CIR, DECATUR, GA 30032-1145
(706) 587-9183
Mailing address
173 PINE TREE CIR, DECATUR, GA 30032-1145
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC011317
GA
Other
Enumeration date
10/29/2019
Last updated
06/26/2025
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