Evergreen Counseling, LLC

NPI #1811271521 in Hiram, Georgia

Provider Information

NPI Number
1811271521
Entity Type
Organization
Organization Name
Evergreen Counseling, LLC
Primary Specialty
Counselor - Professional
Enumeration Date
Sep 30, 2011
Last Updated
Sep 30, 2011

Practice Location

Address
126 ENTERPRISE PATH
Address 2
#102
City
Hiram
State
Georgia
ZIP Code
30141-2656
Phone
(770) 634-8443

Authorized Official

Name
CELESTE REICHARD
Title
LPC
Phone
(770) 634-8443

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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