Melanie Ann Dallas, LPC Valid NPI
Individual provider · Professional Counselor · Jasper, GA
- NPI
- 1144482266
- Type
- Individual (Type 1)
- Primary specialty
- Professional Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YP2500X
- License number
- 003408 (GA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2008-06-30
- Last updated
- 2008-06-30
Practice location
340 Pine Crest Rd
Jasper, GA 30143-2662
(404) 808-7740