Organization
CAROL A. DIFABIO, LPC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROL A DIFABIO LPC (PRESIDENT)
(770) 240-8363
Entity
Organization
Contact information
Practice address
11815 NORTHFALL LN, STE. 1006, ALPHARETTA, GA 30009-7973
(770) 240-8363
Mailing address
11815 NORTHFALL LN, STE. 1006, ALPHARETTA, GA 30009-7973
(770) 240-8363
(770) 442-7774
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LPC0002372
GA
Other
Enumeration date
11/15/2014
Last updated
11/15/2014
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