Individual
EMILY RACHEL DETTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA,LPC, NCC
Contact information
Practice address
600 PEACHTREE PKWY, SUITE 112, CUMMING, GA 30041-7461
(847) 337-5747
Mailing address
600 PEACHTREE PKWY, SUITE 112, CUMMING, GA 30041-7461
(847) 337-5747
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC007840
GA
Other
Enumeration date
08/15/2012
Last updated
10/18/2016
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