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Organization

E. AMANDA DELLINGER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. EVELYN AMANDA DELLINGER LPC, NCC (MANAGING MEMBER)
(678) 986-1816
Entity
Organization

Contact information

Practice address
3105 CREEKSIDE VILLAGE DR NW, SUITE 706, KENNESAW, GA 30144-2394
(678) 986-1816
Mailing address
148 W MAIN ST, SUITE 206, CARTERSVILLE, GA 30120-3568
(678) 986-1816

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
APC002412
GA
101YP2500X
Professional Counselor
Primary
APC002412
GA

Other

Enumeration date
05/04/2010
Last updated
12/12/2011
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