Individual
DAWN NILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1944 BRANNAN RD, MCDONOUGH, GA 30253-4310
(678) 289-6981
Mailing address
3844 LEYLAND DR, DECATUR, GA 30034-7332
(404) 509-5191
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC007379
GA
101YP2500X
Professional Counselor
Primary
LPC007379
GA
Other
Enumeration date
10/09/2017
Last updated
10/09/2017
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