Individual
INDIRA THOMASSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2097 LAKE PARK DR SE APT I, SMYRNA, GA 30080-7657
(770) 895-3518
Mailing address
2097 LAKE PARK DR SE APT I, SMYRNA, GA 30080-7657
(770) 895-3518
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC009718
GA
Other
Enumeration date
02/03/2026
Last updated
02/03/2026
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