person
Original Michael, CACI,CACII
Mental Health Counselor in Atlanta, Georgia
NPI 1437576253

Original Michael is a Mental Health Counselor based in Atlanta, GA and is specialized in Mental Health. Original Michael practices in Atlanta, GA and has the professional credentials of CACI,CACII. The NPI Number for Original Michael is 1437576253 and holds a License No. 3026 (Georgia).

The current practice location address for Original Michael is 159 Forsyth St Sw, Atlanta, GA and can be reached out via phone at 404-523-4599 and via fax at 404-586-0645.

Location: 159 Forsyth St Sw, Atlanta, GA, 30303-3634
person
Provider Profile Details
NPI Number
1437576253
Provider Name
Original Michael
Credential
CACI,CACII
Provider Entity Type
Individual
Gender
Male
Address
159 Forsyth St Sw, Atlanta, GA, 30303-3634
Phone Number
404-523-4599
Fax Number
404-586-0645
Provider Enumeration Date
03/19/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
159 Forsyth St Sw
City
State
Zip
30303-3634
Phone Number
404-523-4599
Fax Number
404-586-0645
person
Provider Business Mailing Address Details
Address
159 Forsyth St Sw
City
State
Zip
30303-3634
Phone Number
404-523-4599
Fax Number
404-586-0645
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
3026 (Georgia)
Definition
Definition to come...
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