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NPI Code Detail

MEDICARE: AFIYA YABUKU

MEDICARE: AFIYA YABUKU
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorLPC012310GA

General Provider Information

NPI Number : 1669945028
Entity Type Code : Individual
Provider Name (Legal Business Name) : AFIYA YABUKU
Provider Business Mailing Address
First Line : 2675 PACES FERRY RD SE STE 140
Second Line :
City : ATLANTA
State : GA
Zip : 30339-4089
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2675 PACES FERRY RD SE
Second Line :
City : ATLANTA
State : GA
Zip : 30339-4052
Country : US
Telephone Number : 404-405-0511
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2019
Last Update Date : 07/29/2024

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Directions to “ AFIYA YABUKU ” Practice Location

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