Individual
ALFRED BATES CANON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2849B HENDERSON MILL RD, ATLANTA, GA 30341-5772
(678) 465-7537
Mailing address
3084 NORTHBROOK DR, ATLANTA, GA 30341-4631
(678) 465-7537
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
002599
GA
Other
Enumeration date
04/17/2017
Last updated
04/17/2017
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