Organization
ABUNDANT LIFE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDMUND MICHAEL CAPPARUCCI MA, LPC (PROFESSIONAL COUNSELOR)
(404) 788-0002
Entity
Organization
Contact information
Practice address
4343 SHALLOWFORD RD, BUILDING C2, MARIETTA, GA 30062-5023
(404) 788-0002
Mailing address
2904 ARABIAN PL NE, MARIETTA, GA 30062-4631
(404) 788-0002
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LPC008633
GA
Other
Enumeration date
11/09/2015
Last updated
11/09/2015
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