| Chestatee Counseling Center | |
|
487 Morrison Moore Pkwy W Dahlonega GA 30533-1422 | |
| (404) 386-1090 | |
| (678) 455-0682 |
| Full Name | Chestatee Counseling Center |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 487 Morrison Moore Pkwy W, Dahlonega, Georgia |
| Authorized Official Name and Position | Stacy Wolff (DIRECTOR) |
| Authorized Official Contact | 4043861090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chestatee Counseling Center Po Box 708 Dahlonega GA 30533-0012 Ph: (404) 386-1090 | Chestatee Counseling Center 487 Morrison Moore Pkwy W Dahlonega GA 30533-1422 Ph: (404) 386-1090 |
| NPI Number | 1871726695 |
|---|---|
| Provider Enumeration Date | 08/27/2009 |
| Last Update Date | 08/27/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871726695 | NPI | - | NPPES |
| 508264824A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW002651 (Georgia) | Primary |
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