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Alfred Bates Canon, LPC
Professional Counselor in Atlanta, Georgia
NPI 1619401585

Alfred Bates Canon is a Professional Counselor based in Atlanta, GA and is specialized in Professional. Alfred Bates Canon practices in Atlanta, GA and has the professional credentials of LPC. The NPI Number for Alfred Bates Canon is 1619401585 and holds a License No. 002599 (Georgia).

The current practice location address for Alfred Bates Canon is 2849B Henderson Mill Rd, Atlanta, GA and can be reached out via phone at 678-465-7537.

Location: 2849B Henderson Mill Rd, Atlanta, GA, 30341-4631
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619401585
Provider Name
Alfred Bates Canon
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
2849B Henderson Mill Rd, Atlanta, GA, 30341-4631
Phone Number
678-465-7537
Fax Number
Provider Enumeration Date
04/17/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2849B Henderson Mill Rd
City
Atlanta
State
Georgia
Zip
30341-5772
Phone Number
678-465-7537
Fax Number
person
Provider Business Mailing Address Details
Address
2849B Henderson Mill Rd
City
Atlanta
State
Georgia
Zip
30341-5772
Phone Number
678-465-7537
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
002599 (Georgia)
Definition
Definition to come...
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