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Individual

REBECCA AHMADI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
942 NORTH AVE NE, ATLANTA, GA 30306-4466
(404) 819-3850
Mailing address
942 NORTH AVE NE, ATLANTA, GA 30306-4466
(404) 819-3850

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC008726
GA
101YM0800X
Mental Health Counselor
LPC008726
GA

Other

Enumeration date
09/11/2019
Last updated
09/11/2019
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