person
Farisai Dix-broughton
Mental Health Counselor in Scottdale, Georgia
NPI 1780464867

Farisai Dix-broughton is a Mental Health Counselor based in Scottdale, GA and is specialized in Mental Health. Farisai Dix-broughton practices in Scottdale, GA. The NPI Number for Farisai Dix-broughton is 1780464867 and holds a License No. APC008628 (Georgia).

The current practice location address for Farisai Dix-broughton is 610 Kentucky St, Scottdale, GA and can be reached out via phone at 770-988-7470.

Location: 610 Kentucky St, Scottdale, GA, 30079-1124
person
Provider Profile Details
NPI Number
1780464867
Provider Name
Farisai Dix-broughton
Credential
Provider Entity Type
Individual
Gender
Female
Address
610 Kentucky St, Scottdale, GA, 30079-1124
Phone Number
770-988-7470
Fax Number
Provider Enumeration Date
10/04/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
610 Kentucky St
City
State
Zip
30079-1124
Phone Number
770-988-7470
Fax Number
person
Provider Business Mailing Address Details
Address
610 Kentucky St
City
State
Zip
30079-1124
Phone Number
770-988-7470
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
APC008628 (Georgia)
Definition
Definition to come...
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