Individual
MRS. NISHA PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2801 BUFORD HWY NE STE 530, BROOKHAVEN, GA 30329-2143
(404) 721-0675
Mailing address
2801 BUFORD HWY NE STE 530, BROOKHAVEN, GA 30329-2143
(678) 896-0050
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC010410
GA
Other
Enumeration date
10/26/2018
Last updated
03/04/2024
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