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MR. OSAFO ASARE BEDIAKO MA, LPC, CPCS
Professional >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1225516271
Individual Registrant:MR. OSAFO ASARE BEDIAKO MA, LPC, CPCS
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
2110 FAIRBURN RD STE C DOUGLASVILLE, GA 30135-1090 US
Tel: 770-880-2294 Fax: --
Tel: 770-880-2294 Fax: --
Contact information for business:
3847 CARO CT DOUGLASVILLE, GA 30135-7727 US
Tel: 770-880-2294 Fax: --
Tel: 770-880-2294 Fax: --
Registration Information:
NPI: 1225516271
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 101YP2500X | Behavioral Health & Social Service Providers Counselor Professional | GA | LPC007326 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
