Individual
JOHN PRUCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6000 SHAKERAG HILL, #314, PEACHTREE CITY, GA 30269
(678) 519-8820
Mailing address
6000 SHAKERAG HL STE 314, PEACHTREE CITY, GA 30269-6523
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/01/2022
Last updated
11/01/2022
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