Organization
CHARLIE'S SECOND CHANCE COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYRA MUCKLE (OWNER)
(470) 290-8684
Entity
Organization
Contact information
Practice address
842 OAK ST, GAINESVILLE, GA 30501-3570
(470) 290-8684
Mailing address
842 OAK ST, GAINESVILLE, GA 30501-3570
(470) 290-8684
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/24/2017
Last updated
08/19/2022
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