Individual
LETESE COUNCIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
525 HEADWIND WAY, ALPHARETTA, GA 30005-6513
(404) 840-5296
Mailing address
525 HEADWIND WAY, ALPHARETTA, GA 30005-6513
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/16/2022
Last updated
11/16/2022
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