Individual
CARLA SUE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
1778 CENTURY BLVD NE, SUITE A, ATLANTA, GA 30345-3398
(404) 570-3764
Mailing address
208 QUAIL RUN, ROSWELL, GA 30076-3180
(404) 570-3764
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
002385
GA
Other
Enumeration date
02/12/2007
Last updated
05/20/2011
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