person
Ismail Raheem
Mental Health Counselor in Dallas, Georgia
NPI 1508454513

Ismail Raheem is a Mental Health Counselor based in Dallas, GA and is specialized in Mental Health. Ismail Raheem practices in Dallas, GA. The NPI Number for Ismail Raheem is 1508454513 and holds a License No. (Georgia).

The current practice location address for Ismail Raheem is 43 Amanda Dr, Dallas, GA and can be reached out via phone at 706-409-6280.

Location: 43 Amanda Dr, Dallas, GA, 30157-6057
person
Provider Profile Details
NPI Number
1508454513
Provider Name
Ismail Raheem
Credential
Provider Entity Type
Individual
Gender
Male
Address
43 Amanda Dr, Dallas, GA, 30157-6057
Phone Number
706-409-6280
Fax Number
Provider Enumeration Date
01/05/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
43 Amanda Dr
City
State
Zip
30157-6057
Phone Number
706-409-6280
Fax Number
person
Provider Business Mailing Address Details
Address
43 Amanda Dr
City
State
Zip
30157-6057
Phone Number
706-409-6280
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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