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Individual

OLIVIA DEHAVILLAND STEWART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
137 W MILL ST STE F, JONESBORO, GA 30236-3572
(770) 835-5527
(678) 545-2390
Mailing address
1268 GRINDENWALD DR, JONESBORO, GA 30238-8037
(770) 912-3634
(678) 610-1633

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC 004134
GA
101YP2500X
Professional Counselor

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
477163794A
GA
Enumeration date
07/12/2006
Last updated
03/21/2025
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