Individual
BUSOLA SARAH ADEGUNWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3300 HAMILTON MILL RD., STE 102 #430, BUFORD, GA 30519
(770) 769-5671
Mailing address
3300 HAMILTON MILL RD., STE 102 #430, BUFORD, GA 30519
(770) 769-5671
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC009476
GA
Other
Enumeration date
04/17/2019
Last updated
02/23/2021
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