Individual
STEPHEN REDMOND VENTRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
6744 VALLEY CT, DOUGLASVILLE, GA 30135-1643
(770) 403-4823
Mailing address
6744 VALLEY CT, DOUGLASVILLE, GA 30135-1643
(770) 403-4823
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC014010
GA
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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