Individual
DANIELLE TOLBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
611 NORTH AVE, VILLA RICA, GA 30180-1206
(770) 456-3959
Mailing address
611 NORTH AVE, VILLA RICA, GA 30180-1206
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C005166
GA
Other
Enumeration date
05/02/2013
Last updated
05/02/2013
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