Unknown Individual – Professional Counselor, NPI 1336323302
Professional Counselor
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
PO BOX 1915
ELLIJAY, GA 305400035
Phone: (706) 455-1763
Type: Mailing
East 1st Street, Blue Dome District, Tulsa, Tulsa County, Oklahoma, 74120, United States
BLUE RIDGE, GA 305137115
Phone: (706) 455-1763
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30540)
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