Individual
HARVIETTA ELAINE CANNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
980 WALTHER BLVD APT 724, LAWRENCEVILLE, GA 30043-8426
(404) 740-0481
Mailing address
980 WALTHER BLVD APT 724, LAWRENCEVILLE, GA 30043-8426
(404) 740-0481
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
05/26/2021
Last updated
05/26/2021
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