Individual
CHAYA M BUKIET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
5450 GLENRIDGE DR APT 313, ATLANTA, GA 30342-4920
(347) 378-4123
Mailing address
5450 GLENRIDGE DR APT 313, ATLANTA, GA 30342-4920
(347) 378-4123
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
04/17/2018
Last updated
10/06/2021
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