| Dr Ian James Mudge, LPC | |
|
5320 Cumberland Way, Stone Mountain, GA 30087-4211 | |
| (862) 201-3495 | |
| Not Available |
| Full Name | Dr Ian James Mudge |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 5320 Cumberland Way, Stone Mountain, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700414539 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | LPC013731 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ian James Mudge, LPC 5320 Cumberland Way, Stone Mountain, GA 30087-4211 Ph: (862) 201-3495 | Dr Ian James Mudge, LPC 5320 Cumberland Way, Stone Mountain, GA 30087-4211 Ph: (862) 201-3495 |
Ms. Carla D Hawkins, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 747 Lauren Pkwy, Stone Mountain, GA 30083 Phone: 678-576-3824 Fax: 770-469-2838 | |
Ellie D. Moody, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2300 W Park Pl Ste 135, Stone Mountain, GA 30087 Phone: 678-330-1400 | |
Mr. Oronde Hamani Yero, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4675 Mercer Rd, Stone Mountain, GA 30083 Phone: 678-887-0495 | |
Cierra Harris, Counselor Medicare: Medicare Enrolled Practice Location: 221 Scenic View Ln, Stone Mountain, GA 30087 Phone: 757-582-1534 | |
Dana Jennings, EDS, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1505 Ashbrooke Trce, Stone Mountain, GA 30083 Phone: 770-315-9033 | |
Barbara Ann Sims-king, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1005 Summit Lake Dr, Stone Mountain, GA 30083 Phone: 317-487-9554 | |
Mrs. Jylise Lovelle Middleton, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 632 Field Cliff Dr, Stone Mountain, GA 30087 Phone: 404-518-9028 |