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Organization

CHESTATEE COUNSELING CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. STACY WOLFF LCSW (DIRECTOR)
(404) 386-1090
Entity
Organization

Contact information

Practice address
487 MORRISON MOORE PKWY W, DAHLONEGA, GA 30533-1422
(404) 386-1090
(678) 455-0682
Mailing address
PO BOX 708, DAHLONEGA, GA 30533-0012
(404) 386-1090
(678) 455-0682

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW002651
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
508264824A
GA
Enumeration date
08/27/2009
Last updated
08/27/2009
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