| Canton Counseling, Llc | |
|
310 Paper Trail Way Suite 106 Canton GA 30115-5203 | |
| (678) 880-4645 | |
| (770) 628-0046 |
| Full Name | Canton Counseling, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 310 Paper Trail Way, Canton, Georgia |
| Authorized Official Name and Position | Kristen Fraser (OWNER) |
| Authorized Official Contact | 6788804645 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Canton Counseling, Llc 310 Paper Trail Way Suite 106 Canton GA 30115-5203 Ph: (678) 880-4645 | Canton Counseling, Llc 310 Paper Trail Way Suite 106 Canton GA 30115-5203 Ph: (678) 880-4645 |
| NPI Number | 1780014720 |
|---|---|
| Provider Enumeration Date | 11/12/2013 |
| Last Update Date | 11/12/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780014720 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC005635 (Georgia) | Primary |
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