Ellen Super Thomas, LPC

NPI #1417656323 in Mableton, Georgia

Provider Information

NPI Number
1417656323
Entity Type
Individual
Name
Ellen Super Thomas, LPC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Credential
LPC
Enumeration Date
Feb 28, 2023
Last Updated
Feb 28, 2023

Practice Location

Address
783 CREEK GLEN RD
State
Georgia
ZIP Code
30126-2797
Phone
(404) 840-8234

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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