institution
Chantay Golson
Professional Counselor in Conyers, Georgia
NPI 1700125754

Chantay Golson is a Professional Counselor based in Villa Rica, GA and is specialized in Professional. Chantay Golson practices in Conyers, GA. The NPI Number for Chantay Golson is 1700125754 and holds a License No. (Georgia).

The current practice location address for Chantay Golson is 1031 Railroad St Nw, Conyers, GA and can be reached out via phone at 770-280-7288 and via fax at 770-983-6098.

Location: 1031 Railroad St Nw, Conyers, GA, 30180-3804
institution
Provider Profile Details
NPI Number
1700125754
Provider Name
Chantay Golson
Credential
Provider Entity Type
Organization
Address
1031 Railroad St Nw, Conyers, GA, 30180-3804
Phone Number
770-280-7288
Fax Number
770-983-6098
Provider Enumeration Date
02/12/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
003126621A 05 GA
institution
Provider Business Practice Location Address Details
Address
1031 Railroad St Nw
City
State
Zip
30012-5108
Phone Number
770-280-7288
Fax Number
770-983-6098
person
Provider Business Mailing Address Details
Address
1031 Railroad St Nw
City
State
Zip
30012-5108
Phone Number
770-280-7288
Fax Number
770-983-6098
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
()
Definition
Definition to come...
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