Individual
JOSEPH MATTHEW WHITTINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
523 DIXIE ST, CARROLLTON, GA 30117-3870
(770) 812-8343
Mailing address
271 BERKLEY DR, VILLA RICA, GA 30180-2411
(256) 624-0374
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC010819
GA
Other
Enumeration date
03/05/2019
Last updated
11/08/2021
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