Organization
CHESTATEE COUNSELING CENTER
Active
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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