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Organization

COUNSELORGA, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN HARVEY PRUETT JR. LPC (OWNER/PRESIDENT)
(770) 656-9711
Entity
Organization

Contact information

Practice address
12590 BROADWELL RD, SUITE 100, ALPHARETTA, GA 30004-6700
(770) 656-9711
Mailing address
12590 BROADWELL RD, SUITE 100, ALPHARETTA, GA 30004-6700
(770) 656-9711

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC004591
GA

Other

Enumeration date
10/28/2008
Last updated
09/04/2012
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