Individual
EBONY GOLDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
123 SESAMEE STREET, ATLANTA, GA 30339-4150
(786) 487-6342
Mailing address
1615 LAKEVIEW LN, ATLANTA, GA 30339-4150
(786) 348-5044
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC008824
GA
Other
Enumeration date
03/14/2016
Last updated
02/21/2017
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