Organization
FAMILY COUNSELING CENTER OF CENTRAL GA., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANK MACK MPA (EXECUTIVE DIRECTOR)
(478) 745-2811
Entity
Organization
Contact information
Practice address
277 MLK BLVD STE 203, MACON, GA 31201-3498
(478) 745-2811
(478) 745-0881
Mailing address
277 MLK BLVD STE 203, MACON, GA 31201-3498
(478) 745-2811
(478) 745-0881
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC005010
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPC005010
LPC
GA
Enumeration date
01/12/2012
Last updated
01/12/2012
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