Individual
SUSAN MONGERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1551 JENNINGS MILL RD UNIT 1700B, WATKINSVILLE, GA 30677-7266
(703) 943-8442
Mailing address
1551 JENNINGS MILL RD UNIT 1700B, WATKINSVILLE, GA 30677-7266
(703) 943-8442
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/13/2014
Last updated
12/11/2019
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