Individual
MRS. ANASTASIA JUNGBLUT NYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., NCC, LPC
Contact information
Practice address
99 WEATHERSTONE DR, SUITE 940, WOODSTOCK, GA 30188-7005
(404) 368-5552
Mailing address
375 STEVENS CREEK CT, ALPHARETTA, GA 30005-7471
(404) 368-5552
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC006000
GA
Other
Enumeration date
05/08/2007
Last updated
06/11/2010
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