Individual
MRS. ALZIRENE CAMPOS FAUBION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
105 GOVERNORS SQ, SUITE 602, PEACHTREE CITY, GA 30269-4866
(678) 925-3306
(678) 985-4855
Mailing address
105 GOVERNORS SQ, SUITE 602, PEACHTREE CITY, GA 30269-4866
(678) 925-3306
(678) 985-4855
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC006470
GA
101YP2500X
Professional Counselor
LPC006470-APT-T-1972
GA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
03/26/2007
Last updated
11/30/2016
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