Organization
GROW DEEP COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN RYAN MS, LPC, CPCS (OWNER, THERAPIST)
(770) 331-9988
Entity
Organization
Contact information
Practice address
4830 RIVER GREEN PKWY, SUITE 150, DULUTH, GA 30096-2505
(770) 331-9988
(770) 492-0301
Mailing address
PO BOX 491172, LAWRENCEVILLE, GA 30049-0020
(770) 331-9988
(770) 492-0301
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC003658
GA
Other
Enumeration date
10/18/2016
Last updated
10/18/2016
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