| Magnolia Counseling And Wellness | |
|
124 S Main St Ste 2g Jonesboro GA 30236-3502 | |
| (470) 629-3380 | |
| Not Available |
| Full Name | Magnolia Counseling And Wellness |
|---|---|
| Speciality | Counselor - Professional |
| Location | 124 S Main St Ste 2g, Jonesboro, Georgia |
| Authorized Official Name and Position | Felita Delores Bush (LPC) |
| Authorized Official Contact | 4706293380 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Counseling And Wellness 124 S Main St Ste 2g Jonesboro GA 30236-3502 Ph: (470) 629-3380 | Magnolia Counseling And Wellness 124 S Main St Ste 2g Jonesboro GA 30236-3502 Ph: (470) 629-3380 |
| NPI Number | 1053853515 |
|---|---|
| Provider Enumeration Date | 11/14/2016 |
| Last Update Date | 11/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053853515 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 009211 (Georgia) | Primary |
| 163W00000X | Registered Nurse | RN076947 (Georgia) | Secondary |
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