MODERN TRIBE. LLC
Mental Health at Lawrenceville Hwy, Lilburn, GA

License number
Georgia LPC004808
Category
Social Work
Type
Counselor
License number
Georgia MH7359
Category
Mental Health
Type
Mental Health
Owner
Name: NICOLE M FUENTES LPC, LMHC
Title: OWNER
Phone: (678) 802-9355
Address
Address 2
5440 Lawrenceville Hwy NW, Lilburn, GA 30047
3228 Wakefield St, Lawrenceville, GA 30044
National Provider ID: 1023533106
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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