Individual
MS. EVELYN AMANDA DELLINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
6095 PINE MOUNTAIN RD NW, SUITE 105, KENNESAW, GA 30152-3329
(678) 986-1816
(770) 966-8228
Mailing address
148 W MAIN ST, SUITE 206, CARTERSVILLE, GA 30120
(678) 986-1816
(770) 966-8228
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
APC002412
GA
101Y00000X
Counselor
LPC006544
GA
101YM0800X
Mental Health Counselor
LPC006544
GA
101YP2500X
Professional Counselor
APC002412
GA
101YP2500X
Professional Counselor
Primary
LPC006544
GA
Other
Enumeration date
05/03/2010
Last updated
04/15/2014
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