Heather Elson, LPC
Counselor, Professional in Marietta, GA. Individual provider (NPI-1).
NPI number1669986642
StatusActive
Last updated in NPPESJan 31, 2023
Details
- NPI
- 1669986642
- Entity type
- Individual (NPI-1)
- Name
- Heather Elson
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 28, 2017
- Certification date
- Jan 31, 2023
- Last updated
- Jan 31, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | LPC011973 | GA | Yes |
| 101Y00000X | Counselor | APC006084 | GA |
Practice location
255 Village Pkwy Ne Ste 580Marietta, GA 30067-4161
Phone 770-726-9589
Mailing address
615 Colonial Park Dr Ste 202Roswell, GA 30075-3773
Phone 470-785-5330
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