Individual
GODWIN ANANABA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2001 MARTIN LUTHER KING JR DR SW, SUITE 409, ATLANTA, GA 30310-1101
(404) 564-6486
(404) 564-6487
Mailing address
2001 MARTIN LUTHER KING JR DR SW, SUITE 409, ATLANTA, GA 30310-1101
(404) 564-6486
(404) 564-6487
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
171W00000X
Contractor
—
—
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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