Individual
MICHELLE A RATHBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
200 WESTPARK DR STE 130, PEACHTREE CITY, GA 30269-1447
(404) 960-3064
Mailing address
145 STREAMVIEW CT, FAYETTEVILLE, GA 30215-2978
(678) 644-5768
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
RC00052908
WA
106H00000X
Marriage & Family Therapist
Primary
MFT001911
GA
Other
Enumeration date
11/01/2006
Last updated
10/28/2021
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