Individual
MS. MELODY BILLUPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAPC
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(770) 339-2395
Mailing address
5159 ROUND TABLE DR, ELLENWOOD, GA 30294-6548
(404) 291-4122
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC003103
GA
Other
Enumeration date
10/24/2011
Last updated
10/24/2011
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