Individual
BERNARD PETER ELKON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1257 COMMERCIAL DR SW STE C, CONYERS, GA 30094-5991
(404) 314-3861
Mailing address
443 LAKESHORE DR NE, ATLANTA, GA 30307-1747
(404) 314-3861
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
001239
GA
Other
Enumeration date
06/09/2009
Last updated
06/09/2009
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