Individual
PORSCHE NANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1843 PEELER RD STE C, ATLANTA, GA 30338-5706
(330) 486-5356
Mailing address
391 RALPH MCGILL BLVD NE APT O, ATLANTA, GA 30312-1235
(513) 602-6238
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC005556
GA
Other
Enumeration date
03/25/2025
Last updated
03/25/2025
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