Individual
CHRISTINA MOFFITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
523 CHURCH ST, DECATUR, GA 30030-2515
(678) 990-6452
Mailing address
523 CHURCH ST, DECATUR, GA 30030-2515
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC013271
GA
Other
Enumeration date
05/15/2023
Last updated
01/22/2024
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