Individual
MRS. CONSTANCE CHENELLE FIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APC
Contact information
Practice address
4720 PEACHTREE INDUSTRIAL BLVD, BLDG 400, STE 4201, BERKLEY LAKE, GA 30071
(404) 900-9583
Mailing address
1435 HAYNES TRACE CT, GRAYSON, GA 30017-2898
(352) 214-8949
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC008629
GA
Other
Enumeration date
06/21/2024
Last updated
06/21/2024
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