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Ashley T Staten
Mental Health Counselor in Stone Mountain, Georgia
NPI 1558837187

Ashley T Staten is a Mental Health Counselor based in Stone Mountain, GA and is specialized in Mental Health. Ashley T Staten practices in Stone Mountain, GA. The NPI Number for Ashley T Staten is 1558837187 and holds a License No. 05077957 (Georgia).

The current practice location address for Ashley T Staten is 4893 Memorial Dr, Stone Mountain, GA and can be reached out via phone at 404-581-2188.

Location: 4893 Memorial Dr, Stone Mountain, GA, 30083-4175
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558837187
Provider Name
Ashley T Staten
Credential
Provider Entity Type
Individual
Gender
Female
Address
4893 Memorial Dr, Stone Mountain, GA, 30083-4175
Phone Number
404-581-2188
Fax Number
Provider Enumeration Date
10/22/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CN0030029971 01 GA CNA
institution
Provider Business Practice Location Address Details
Address
4893 Memorial Dr
City
Stone Mountain
State
Georgia
Zip
30083-4175
Phone Number
404-581-2188
Fax Number
person
Provider Business Mailing Address Details
Address
4893 Memorial Dr
City
Stone Mountain
State
Georgia
Zip
30083-4175
Phone Number
404-581-2188
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
05077957 (Georgia)
Definition
Definition to come...
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