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Organization

CLAIR COUNSELING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MERCELINE KAVEKE MUTISO LPC, NCC (OWNER)
(404) 326-7030
Entity
Organization

Contact information

Practice address
5610 GLENRIDGE DR, ATLANTA, GA 30342-1317
(404) 326-7030
Mailing address
PO BOX 421694, ATLANTA, GA 30342-8694
(404) 326-7030

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
11/04/2022
Last updated
11/04/2022
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