Individual
CAROLYN RIVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3636 ASTRONAUT DR, ELLENWOOD, GA 30294-1123
(404) 438-1531
Mailing address
3636 ASTRONAUT DR, ELLENWOOD, GA 30294-1123
(404) 438-1531
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC006367
GA
Other
Enumeration date
06/17/2014
Last updated
06/17/2014
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