Individual
SUSAN MICHELE JEFFERSON MORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, RPT, NCC
Contact information
Practice address
102 MARY ALICE PARK RD, SUITE 504, CUMMING, GA 30040-2664
(301) 213-1368
Mailing address
102 MARY ALICE PARK RD, SUITE 504, CUMMING, GA 30040-2664
(301) 213-1368
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC007830
GA
Other
Enumeration date
09/09/2016
Last updated
09/09/2016
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