| Csg & Associates Counseling | |
|
255 Racetrack Rd Suite 25 Mcdonough GA 30252-6834 | |
| (423) 903-9761 | |
| (423) 822-5729 |
| Full Name | Csg & Associates Counseling |
|---|---|
| Speciality | Social Worker |
| Location | 255 Racetrack Rd, Mcdonough, Georgia |
| Authorized Official Name and Position | Candice S Gould (OWNER) |
| Authorized Official Contact | 4239039761 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Csg & Associates Counseling 1244 Polk Xing Mcdonough GA 30252-8081 Ph: (423) 903-9761 | Csg & Associates Counseling 255 Racetrack Rd Suite 25 Mcdonough GA 30252-6834 Ph: (423) 903-9761 |
| NPI Number | 1386185890 |
|---|---|
| Provider Enumeration Date | 03/16/2017 |
| Last Update Date | 03/16/2017 |
| Medicare PECOS PAC ID | 5799041000 |
|---|---|
| Medicare Enrollment ID | O20171101003666 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386185890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW004081 (Georgia) | Primary |
| Provider Name | Candice Gould |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730585464 PECOS PAC ID: 0648590505 Enrollment ID: I20150518001745 |
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