Individual
ERICA BALDWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1060 GRIMES BRIDGE ROAD, UNIT H, ROSWELL, GA 30075
(404) 965-2686
Mailing address
109 ELM ST, ROSWELL, GA 30075-1111
(678) 708-1419
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
APC009622
GA
101YM0800X
Mental Health Counselor
Primary
LPCC.0022457
CO
Other
Enumeration date
08/13/2024
Last updated
08/13/2024
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