| Modern Family Counseling | |
|
3387 E First St Blue Ridge GA 30513-7115 | |
| (404) 409-4945 | |
| (866) 789-4966 |
| Full Name | Modern Family Counseling |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3387 E First St, Blue Ridge, Georgia |
| Authorized Official Name and Position | Laurie Hicks (OWNER) |
| Authorized Official Contact | 4044094945 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Family Counseling 3387 E First St Blue Ridge GA 30513-7115 Ph: (404) 409-4945 | Modern Family Counseling 3387 E First St Blue Ridge GA 30513-7115 Ph: (404) 409-4945 |
| NPI Number | 1376981712 |
|---|---|
| Provider Enumeration Date | 06/07/2013 |
| Last Update Date | 06/07/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376981712 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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