Individual
MRS. MARY ALICE WATLINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EDD, LPC, NCC
Contact information
Practice address
1329 WYNNTON RD, COLUMBUS, GA 31906-2919
(706) 577-2197
Mailing address
8108 SADDLEHORN DR, MIDLAND, GA 31820-4433
(706) 577-2197
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC006882
GA
Other
Enumeration date
03/23/2020
Last updated
03/23/2020
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