Individual
MR. MICHAEL G. CARRICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
500 SUN VALLEY DR, SUITE C-1, ROSWELL, GA 30076-1482
(678) 935-7935
(770) 640-9287
Mailing address
500 SUN VALLEY DR, SUITE C-1, ROSWELL, GA 30076-1482
(678) 935-7935
(770) 640-9287
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC008491
GA
101YM0800X
Mental Health Counselor
MFT001412
GA
Other
Enumeration date
10/30/2012
Last updated
12/21/2016
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