person
Magda Tevdoradze, LPC
Professional Counselor in Decatur, Georgia
NPI 1578595054

Magda Tevdoradze is a Professional Counselor based in Decatur, GA and is specialized in Professional. Magda Tevdoradze practices in Decatur, GA and has the professional credentials of LPC. The NPI Number for Magda Tevdoradze is 1578595054 and holds a License No. 004025 (Georgia).

The current practice location address for Magda Tevdoradze is 544 Medlock Rd, Decatur, GA and can be reached out via phone at 678-641-0405 and via fax at 404-373-3022.

Location: 544 Medlock Rd, Decatur, GA, 30030-1515
person
Provider Profile Details
NPI Number
1578595054
Provider Name
Magda Tevdoradze
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
544 Medlock Rd, Decatur, GA, 30030-1515
Phone Number
678-641-0405
Fax Number
404-373-3022
Provider Enumeration Date
07/07/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
544 Medlock Rd
City
State
Zip
30030-1515
Phone Number
678-641-0405
Fax Number
404-373-3022
person
Provider Business Mailing Address Details
Address
544 Medlock Rd
City
State
Zip
30030-1515
Phone Number
678-641-0405
Fax Number
404-373-3022
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
004025 (Georgia)
Definition
Definition to come...
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