| Ironwood Counseling Llc | |
|
110 Evans Mill Dr Dallas GA 30157-1622 | |
| (770) 558-7629 | |
| (404) 321-9246 |
| Full Name | Ironwood Counseling Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 110 Evans Mill Dr, Dallas, Georgia |
| Authorized Official Name and Position | Brian K Fujii (OWNER) |
| Authorized Official Contact | 7705587629 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ironwood Counseling Llc 110 Evans Mill Dr Dallas GA 30157-1622 Ph: (770) 558-7629 | Ironwood Counseling Llc 110 Evans Mill Dr Dallas GA 30157-1622 Ph: (770) 558-7629 |
| NPI Number | 1245612191 |
|---|---|
| Provider Enumeration Date | 06/26/2015 |
| Last Update Date | 06/26/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245612191 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC001422 (Georgia) | Primary |
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