Carol A. Difabio, Lpc, Pc | |
11815 Northfall Ln Ste. 1006 Alpharetta GA 30009-7973 | |
(770) 240-8363 | |
Not Available |
Full Name | Carol A. Difabio, Lpc, Pc |
---|---|
Speciality | Community/behavioral Health |
Location | 11815 Northfall Ln, Alpharetta, Georgia |
Authorized Official Name and Position | Carol A Difabio (PRESIDENT) |
Authorized Official Contact | 7702408363 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Carol A. Difabio, Lpc, Pc 11815 Northfall Ln Ste. 1006 Alpharetta GA 30009-7973 Ph: (770) 240-8363 | Carol A. Difabio, Lpc, Pc 11815 Northfall Ln Ste. 1006 Alpharetta GA 30009-7973 Ph: (770) 240-8363 |
NPI Number | 1801292008 |
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Provider Enumeration Date | 11/15/2014 |
Last Update Date | 11/15/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801292008 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | LPC0002372 (Georgia) | Primary |
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