Individual
RONALD BIVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
611 EASTWOOD VILLAGE DR, STOCKBRIDGE, GA 30281-7757
(404) 587-3321
Mailing address
611 EASTWOOD VILLAGE DR, STOCKBRIDGE, GA 30281-7757
(404) 587-3321
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/08/2016
Last updated
01/08/2016
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