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Deana Jo Vivian
Professional Counselor in Atlanta, Georgia
NPI 1639695513

Deana Jo Vivian is a Professional Counselor based in Atlanta, GA and is specialized in Professional. Deana Jo Vivian practices in Atlanta, GA. The NPI Number for Deana Jo Vivian is 1639695513 and holds a License No. LPC009559 (Georgia).

The current practice location address for Deana Jo Vivian is 1003 Virginia Ave Ste 212, Atlanta, GA and can be reached out via phone at 678-994-5694.

Location: 1003 Virginia Ave Ste 212, Atlanta, GA, 30354-1387
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639695513
Provider Name
Deana Jo Vivian
Credential
Provider Entity Type
Individual
Gender
Female
Address
1003 Virginia Ave Ste 212, Atlanta, GA, 30354-1387
Phone Number
678-994-5694
Fax Number
Provider Enumeration Date
08/22/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1003 Virginia Ave Ste 212
City
Atlanta
State
Georgia
Zip
30354-1387
Phone Number
678-994-5694
Fax Number
person
Provider Business Mailing Address Details
Address
1003 Virginia Ave Ste 212
City
Atlanta
State
Georgia
Zip
30354-1387
Phone Number
678-994-5694
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
LPC009559 (Georgia)
Definition
Definition to come...
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