Individual
DR. JULIE DEAN MATSUNAGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LPC
Contact information
Practice address
401 RIDLEY AVE STE C, LAGRANGE, GA 30240-2267
(706) 756-1970
Mailing address
401 RIDLEY AVE STE C, LAGRANGE, GA 30240-2267
(706) 756-1970
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC012591
GA
Other
Enumeration date
01/05/2022
Last updated
01/13/2022
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