Individual
AMELIA BARTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
139 KIMMERIDGE DR, MACON, GA 31220-2681
(678) 227-2593
Mailing address
139 KIMMERIDGE DR, MACON, GA 31220-2681
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC011363
GA
Other
Enumeration date
01/07/2017
Last updated
01/23/2020
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