Organization
MALABAR COUNSELING GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACOB JACOB (PRESIDENT)
(770) 490-2164
Entity
Organization
Contact information
Practice address
1296 MCLENDON AVE NE, ATLANTA, GA 30307-2088
(770) 490-2164
Mailing address
1296 MCLENDON AVE NE, ATLANTA, GA 30307-2088
(770) 490-2164
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
01/17/2025
Last updated
01/17/2025
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