person
Audrey Mishaw
Professional Counselor in Norcross, Georgia
NPI 1184133639

Audrey Mishaw is a Professional Counselor based in Lilburn, GA and is specialized in Professional. Audrey Mishaw practices in Norcross, GA. The NPI Number for Audrey Mishaw is 1184133639 and holds a License No. 004297 (Georgia).

The current practice location address for Audrey Mishaw is 5635 Peachtree Pkwy Ste 180, Norcross, GA and can be reached out via phone at 470-938-6670.

Location: 5635 Peachtree Pkwy Ste 180, Norcross, GA, 30047-5554
person
Provider Profile Details
NPI Number
1184133639
Provider Name
Audrey Mishaw
Credential
Provider Entity Type
Individual
Gender
Female
Address
5635 Peachtree Pkwy Ste 180, Norcross, GA, 30047-5554
Phone Number
470-938-6670
Fax Number
Provider Enumeration Date
09/27/2017
Last Update Date
12/14/2024
institution
Provider Business Practice Location Address Details
Address
5635 Peachtree Pkwy Ste 180
City
State
Zip
30092-2823
Phone Number
470-938-6670
Fax Number
person
Provider Business Mailing Address Details
Address
5635 Peachtree Pkwy Ste 180
City
State
Zip
30092-2823
Phone Number
470-938-6670
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LPC009812 (Georgia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
004297 (Georgia)
Definition
Definition to come...
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