Beaufort Addison Valid NPI

Individual provider · Mental Health Counselor · Lithonia, GA

NPI

1205413481

Type

Individual (Type 1)

Primary specialty

Mental Health Counselor (Counselor)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

101YM0800X

Sex

Male

Sole proprietor

Yes

Enumerated

2021-03-25

Last updated

2021-03-25