Individual
MS. SEDARA MAIA BURSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, CPCS, MAC
Contact information
Practice address
457 JEFFERSON CHASE CIR SE, ATLANTA, GA 30354-2881
(513) 470-1333
Mailing address
2554 PRESTON VIEW CT SW, ATLANTA, GA 30315-7313
(404) 913-6242
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC006764
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPC00674
LICENSED PROFESSIONAL COUNSELOR
GA
Enumeration date
02/04/2010
Last updated
12/24/2022
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