Individual
GRACE FAISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2302 PARKLAKE DR NE, SUITE 350, ATLANTA, GA 30345-2896
(770) 621-0469
(770) 621-0466
Mailing address
2302 PARKLAKE DR NE, SUITE 350, ATLANTA, GA 30345-2896
(770) 621-0469
(770) 621-0466
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/25/2013
Last updated
09/25/2013
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