Individual
NICOLE FUGLEWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAPC, NCC
Contact information
Practice address
2900 CHAMBLEE TUCKER RD BLDG 12, ATLANTA, GA 30341-4100
(470) 344-3811
(770) 818-5873
Mailing address
811 PENN AVE NE, ATLANTA, GA 30308-1524
(470) 344-3811
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC005442
GA
Other
Enumeration date
06/14/2017
Last updated
06/14/2017
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