Organization
PROGRESSIVE CONSUMER COUNSELING
Active
Organization
PROGRESSIVE CONSUMER COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARIO BUTLER (CEO)
(404) 209-1209
Entity
Organization
Contact information
Practice address
6175 OLD NATIONAL HWY STE 420, COLLEGE PARK, GA 30349-4470
(404) 209-1209
Mailing address
6175 OLD NATIONAL HWY STE 420, COLLEGE PARK, GA 30349-4470
(404) 209-1209
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
1501037234
GA
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
705221638A
—
GA
Enumeration date
11/03/2008
Last updated
06/11/2019
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