Individual
DR. LEONORA CAMILLE AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DCC
Contact information
Practice address
1690 EZRA CHURCH DR NW, ATLANTA, GA 30314-1807
(404) 545-1190
Mailing address
1690 EZRA CHURCH DR NW, ATLANTA, GA 30314-1807
(404) 545-1190
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
GA
101YP1600X
Pastoral Counselor
10654
GA
101YP2500X
Professional Counselor
Primary
10654
GA
106H00000X
Marriage & Family Therapist
10654
GA
133NN1002X
Nutrition Education Nutritionist
—
NY
171M00000X
Case Manager/Care Coordinator
—
GA
174H00000X
Health Educator
—
GA
Other
Enumeration date
05/04/2016
Last updated
05/04/2016
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