Martha Thomas Land, BCCC
NPI #1801147194 in Avondale Estates, Georgia
Provider Information
- NPI Number
- 1801147194
- Entity Type
- Individual
- Name
- Martha Thomas Land, BCCC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor
- Credential
- BCCC
- Enumeration Date
- Sep 26, 2012
- Last Updated
- Sep 26, 2012
Practice Location
- Address
- 562 STRATFORD GRN
- City
- Avondale Estates
- State
- Georgia
- ZIP Code
- 30002-1354
- Phone
- (770) 841-9539
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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