Organization
DOUGLASVILLE OUTPATIENT PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLA JONES (LPC)
(678) 838-9336
Entity
Organization
Contact information
Practice address
2722 STILLWATER LAKE LN, MARIETTA, GA 30066-7906
(770) 265-8336
(770) 578-1006
Mailing address
8304 OFFICE PARK DR, DOUGLASVILLE, GA 30134-6935
(678) 838-9336
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC007582
GA
Other
Enumeration date
10/07/2015
Last updated
10/07/2015
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