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Organization

COLUMBUS STATE UNIVERSITY

Active
Other names
CSU - The Counseling Center
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LISA J BROWN CPMSM (CREDENTIALING DIRECTOR)
(469) 735-4555
Entity
Organization

Contact information

Practice address
4225 UNIVERSITY AVE, SCHUSTER CENTER, COLUMBUS, GA 31907-5679
(706) 507-8740
(706) 507-8753
Mailing address
PO BOX 168007, IRVING, TX 75016-8007
(469) 735-4555
(469) 735-4640

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary

Other

Enumeration date
12/05/2011
Last updated
12/05/2011
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