Individual
MS. JUDITH DIANNE CLEVELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
259 HIGHWAY 74 N, SUITE ONE, PEACHTREE CITY, GA 30269-3561
(770) 630-0071
(770) 599-3033
Mailing address
259 HIGHWAY 74 N, SUITE ONE, PEACHTREE CITY, GA 30269-3561
(770) 630-0071
(770) 599-3033
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
000129
GA
Other
Enumeration date
05/19/2010
Last updated
05/19/2010
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