Individual
MRS. ELSA VICENTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4006 HIGHWAY 34 E, SHARPSBURG, GA 30277-3531
(404) 960-1282
Mailing address
4006 HIGHWAY 34 E, SHARPSBURG, GA 30277-3531
(404) 960-1282
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC006722
GA
Other
Enumeration date
02/23/2012
Last updated
02/18/2020
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