Individual
MRS. CHARLETT THERESA HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC012133
Contact information
Practice address
3911 MARY ELIZA TRCE NW STE 200, MARIETTA, GA 30064-1088
(678) 631-9907
Mailing address
3911 MARY ELIZA TRCE NW STE 200, MARIETTA, GA 30064-1088
(678) 631-9907
(678) 701-7909
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC012133
GA
Other
Enumeration date
04/27/2021
Last updated
09/10/2024
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