Organization
RECOVERY LGBT COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JD WEIDNER PH.D. (CEO)
(404) 317-9566
Entity
Organization
Contact information
Practice address
2750 HERITAGE MANOR WALK, DECATUR, GA 30034-1002
(404) 317-9566
Mailing address
2750 HERITAGE MANOR WALK, DECATUR, GA 30034-1002
(404) 317-9566
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/04/2023
Last updated
11/21/2024
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