Individual
DR. CHARLES PETE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1348 PONCE DE LEON AVE NE, ATLANTA, GA 30306-4604
(404) 687-8559
Mailing address
1348 PONCE DE LEON AVE NE, ATLANTA, GA 30306-4604
(404) 687-8559
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC3456
GA
102L00000X
Psychoanalyst
LPC3456
GA
Other
Enumeration date
12/14/2011
Last updated
12/14/2011
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