Individual
DR. DEBRA A DANTZLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., LPC
Contact information
Practice address
131 PONCE DE LEON AVE NE, SUITE 233, ATLANTA, GA 30308-1962
(404) 272-2770
(404) 272-2770
Mailing address
618 S RAYS RD, STONE MOUNTAIN, GA 30083-4605
(404) 272-2770
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
05479
GA
Other
Enumeration date
02/18/2009
Last updated
06/02/2011
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