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Organization

LIFE SOURCE COUNSELING & CONSULTING, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEPHANE EVETTE WILLIAMS LPC (LICENSED PROFESSIONAL COUNSELOR)
(404) 372-8941
Entity
Organization

Contact information

Practice address
118 NORTH AVENUE, SUITE A, JONESBORO, GA 30236
(404) 372-8941
Mailing address
P.O. BOX 302, REX, GA 30273-0302
(404) 372-8941

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
04/25/2020
Last updated
04/25/2020
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