Individual
MISTI STORIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, NCC, MAC
Contact information
Practice address
108 E PONCE DE LEON AVE STE 207, DECATUR, GA 30030-2512
(404) 217-7558
Mailing address
216 MURRAY HILL AVE NE, ATLANTA, GA 30317-1317
(404) 217-7558
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC009755
GA
Other
Enumeration date
02/18/2018
Last updated
02/18/2018
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