Individual
SUSANNAH BALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
3033 N DECATUR RD, SCOTTDALE, GA 30079-1143
(404) 354-4026
Mailing address
3033 N DECATUR RD, SCOTTDALE, GA 30079-1143
(404) 354-4026
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT001646
GA
Other
Enumeration date
10/05/2018
Last updated
08/25/2022
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