Individual
MR. JUSTIN PAUL LEDFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COUNSELOR
Contact information
Practice address
1900 THE EXCHANGE SE STE 100, ATLANTA, GA 30339-2022
(404) 233-3949
Mailing address
1081 CANTERBURY DR SE, SMYRNA, GA 30082-4201
(404) 502-4702
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
GA
225200000X
Physical Therapy Assistant
3566
GA
Other
Enumeration date
01/22/2016
Last updated
09/02/2022
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