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Organization

3D PSYCHOTHERAPY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DEBRA DANTZLER PHD, LPC, MAC, NCC (OWNER/THERAPIST)
(404) 620-6791
Entity
Organization

Contact information

Practice address
1 W COURT SQ, SUITE 750, DECATUR, GA 30030-2538
(404) 620-6791
(404) 494-7701
Mailing address
1 W COURT SQ, SUITE 750, DECATUR, GA 30030-2538
(404) 620-6791
(404) 494-7701

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
005479
GA

Other

Enumeration date
11/29/2016
Last updated
11/29/2016
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