Individual
NTASHA HODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5405 MEMORIAL DR, STONE MOUNTAIN, GA 30083-3234
(678) 999-2611
Mailing address
200 HARBOR POINTE DR, STONE MTN, GA 30087-6191
(470) 767-0796
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC013419
GA
Other
Enumeration date
03/06/2023
Last updated
03/06/2023
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