| Salt & Light Counseling Llc | |
|
110 Habersham Dr Suite 109 Fayetteville GA 30214-1381 | |
| (678) 829-2523 | |
| Not Available |
| Full Name | Salt & Light Counseling Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 110 Habersham Dr, Fayetteville, Georgia |
| Authorized Official Name and Position | Chena Blanchard (OWNER) |
| Authorized Official Contact | 6788292523 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Salt & Light Counseling Llc 110 Habersham Dr Suite 109 Fayetteville GA 30214-1381 Ph: (678) 829-2523 | Salt & Light Counseling Llc 110 Habersham Dr Suite 109 Fayetteville GA 30214-1381 Ph: (678) 829-2523 |
| NPI Number | 1689058687 |
|---|---|
| Provider Enumeration Date | 07/20/2015 |
| Last Update Date | 07/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689058687 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC007687 (Georgia) | Primary |
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