| A Christian Place Counseling | |
|
220 Lanier Ave E Fayetteville GA 30214-1604 | |
| (678) 709-5555 | |
| Not Available |
| Full Name | A Christian Place Counseling |
|---|---|
| Speciality | Counselor - Professional |
| Location | 220 Lanier Ave E, Fayetteville, Georgia |
| Authorized Official Name and Position | Jesse Gainsbrugh (OWNER / THERAPIST) |
| Authorized Official Contact | 6787095555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Christian Place Counseling 4109 Merrick Dr Peachtree City GA 30269-6665 Ph: (678) 790-9555 | A Christian Place Counseling 220 Lanier Ave E Fayetteville GA 30214-1604 Ph: (678) 709-5555 |
| NPI Number | 1053726265 |
|---|---|
| Provider Enumeration Date | 06/25/2014 |
| Last Update Date | 06/25/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053726265 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC007774 (Georgia) | Primary |
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