Individual
POONAM A PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8735 DUNWOODY PL # 5364, ATLANTA, GA 30350-2995
(256) 595-9342
Mailing address
8735 DUNWOODY PL STE 5364, ATLANTA, GA 30350-2995
(256) 595-9342
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
007213
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007213
GA BOARD OF PROFESSIONAL LICENSING -ASSOCIATE PROFESSIONAL COUNSELOR
GA
Enumeration date
10/29/2020
Last updated
07/03/2024
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