Organization
INTOWN CHILD THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH J ROUSSO LPC (OWNER)
(404) 919-9975
Entity
Organization
Contact information
Practice address
464 CHEROKEE AVE SE, STE 202, ATLANTA, GA 30312-3260
(404) 919-9975
Mailing address
339 BROOKS AVE NE, ATLANTA, GA 30307-2141
(404) 919-9975
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
02/28/2013
Last updated
02/28/2013
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