Organization
ANGIE PACE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA CRYSTAL PACE MA, LPC (LICENSED PROFESSIONAL COUNSELOR)
(770) 317-0796
Entity
Organization
Contact information
Practice address
309 TANNER ST, CARROLLTON, GA 30117-3207
(770) 317-0796
Mailing address
310 N WHITE ST, CARROLLTON, GA 30117-2439
(770) 317-0796
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
12/03/2019
Last updated
09/27/2021
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