Individual
CONNIE IVESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MHP
Contact information
Practice address
250 NORTH AVE, ATHENS, GA 30601-2244
(706) 542-9700
(706) 227-7249
Mailing address
250 NORTH AVE, ATHENS, GA 30601-2244
(706) 542-9700
(706) 227-7249
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/15/2008
Last updated
02/15/2008
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