Individual
FELICIA THRASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
300 HUNTERS TRCE, DALLAS, GA 30157-9413
(770) 369-6011
Mailing address
300 HUNTERS TRCE, DALLAS, GA 30157-9413
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC013585
GA
101YP2500X
Professional Counselor
Primary
LPC013585
GA
101YS0200X
School Counselor
LPC013585
GA
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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