Organization
ASPIRATIONAL VISIONS FOR TRAUMATIC EVENTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINA COLES (LCSW)
(704) 699-1477
Entity
Organization
Contact information
Practice address
553 TULIP LN, MCDONOUGH, GA 30252-1039
(704) 699-1477
Mailing address
553 TULIP LN, MCDONOUGH, GA 30252-1039
(704) 699-1477
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/05/2017
Last updated
12/05/2017
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