Individual
ISITA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
1125 PENNY LN, ROSWELL, GA 30076-3924
(833) 432-5285
Mailing address
1125 PENNY LN, ROSWELL, GA 30076-3924
(833) 432-5285
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/09/2018
Last updated
04/19/2022
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