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Ms. Miranda L. Fallen-bobo, LPC,NCC
Mental Health Counselor in College Park, Georgia
NPI 1821498809

Miranda L. Fallen-bobo is a Mental Health Counselor based in College Park, GA and is specialized in Mental Health. Miranda L. Fallen-bobo practices in College Park, GA and has the professional credentials of LPC,NCC. The NPI Number for Miranda L. Fallen-bobo is 1821498809 and holds a License No. (Georgia).

The current practice location address for Miranda L. Fallen-bobo is 3729 Main St, College Park, GA and can be reached out via phone at 678-559-4043.

Location: 3729 Main St, College Park, GA, 30337-3544
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821498809
Provider Name
Miranda L. Fallen-bobo
Credential
LPC,NCC
Provider Entity Type
Individual
Gender
Female
Address
3729 Main St, College Park, GA, 30337-3544
Phone Number
678-559-4043
Fax Number
Provider Enumeration Date
08/27/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3729 Main St
City
College Park
State
Georgia
Zip
30337-3544
Phone Number
678-559-4043
Fax Number
person
Provider Business Mailing Address Details
Address
3729 Main St
City
College Park
State
Georgia
Zip
30337-3544
Phone Number
678-559-4043
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
(Georgia)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
(Georgia)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Pastoral
Taxonomy
101YP1600X
License No.
(Georgia)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
(Georgia)
Definition
Definition to come...
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