Trident Counseling And Consultation, Llc | |
10 N Clarendon Ave Ste B Avondale Estates GA 30002-1165 | |
(917) 319-3047 | |
Not Available |
Full Name | Trident Counseling And Consultation, Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 10 N Clarendon Ave Ste B, Avondale Estates, Georgia |
Authorized Official Name and Position | Julia Codrington (OWNER) |
Authorized Official Contact | 9173193047 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Trident Counseling And Consultation, Llc 7377 Alden Ridge Rd Jonesboro GA 30236-7228 Ph: (917) 319-3047 | Trident Counseling And Consultation, Llc 10 N Clarendon Ave Ste B Avondale Estates GA 30002-1165 Ph: (917) 319-3047 |
NPI Number | 1700459039 |
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Provider Enumeration Date | 07/23/2021 |
Last Update Date | 07/23/2021 |
Certification Date | 07/23/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700459039 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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