Organization
EMERGING SELF PSYCHOTHERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFERY SCOTT MATTHEWS M.S., L.P.C. (PRESIDENT)
(770) 747-0478
Entity
Organization
Contact information
Practice address
2801 BUFORD HWY NE, SUITE 505, ATLANTA, GA 30329-2149
(770) 747-0478
(404) 315-9235
Mailing address
2801 BUFORD HWY NE, SUITE 505, ATLANTA, GA 30329-2149
(770) 747-0478
(404) 315-9235
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC 003491
GA
Other
Enumeration date
03/04/2007
Last updated
08/22/2020
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