Individual
DEBORA M MCCORMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, NCC, LPC
Contact information
Practice address
105 VILLAGE WALK, SUITE 180C, DALLAS, GA 30132-5504
(770) 826-5542
(866) 840-0590
Mailing address
105 VILLAGE WALK, SUITE 180C, DALLAS, GA 30132
(770) 826-5542
(866) 840-0590
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC003940
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932254901
—
GA
Enumeration date
01/23/2007
Last updated
12/23/2009
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