Individual
MONICA RENEE VAN DEVENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, NCC
Contact information
Practice address
45 W CROSSVILLE RD STE 510, ROSWELL, GA 30075-2964
(770) 702-2982
Mailing address
1515 BELCOURT PKWY APT 1515, ROSWELL, GA 30076-2160
(706) 312-4322
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
GA
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
08/12/2021
Last updated
08/18/2021
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