Individual
AUSTIN HAEDICKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
728 BANKHEAD HWY, CARROLLTON, GA 30117-1918
(678) 909-1247
Mailing address
307 ROCKMART RD, VILLA RICA, GA 30180-1125
(678) 670-2453
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC011834
GA
Other
Enumeration date
08/18/2015
Last updated
01/03/2025
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