Individual
MIA KIM CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1905 WOODSTOCK RD STE 3200, ROSWELL, GA 30075-5620
(678) 249-0072
Mailing address
1905 WOODSTOCK RD STE 3200, ROSWELL, GA 30075-5620
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC016249
GA
101YM0800X
Mental Health Counselor
LPC016249
GA
Other
Enumeration date
09/23/2025
Last updated
12/09/2025
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