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NPI Code Detail

MEDICARE: MRS. ELIZABETH ANN PAUTSCH LPC

MEDICARE: MRS. ELIZABETH ANN PAUTSCH LPC
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
1101Y00000XCounselorLPC005951GA

General Provider Information

NPI Number : 1124346713
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ELIZABETH ANN PAUTSCH LPC
Provider Business Mailing Address
First Line : PO BOX 708
Second Line :
City : DAHLONEGA
State : GA
Zip : 30533-0012
Country : US
Telephone Number : 706-344-8462
Fax Number : 706-348-6065
Provider Business Practice Location Address
First Line : 487 MORRISON MOORE PKWY W
Second Line :
City : DAHLONEGA
State : GA
Zip : 30533-1422
Country : US
Telephone Number : 706-344-8462
Fax Number : 706-348-6065
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2010
Last Update Date : 05/07/2010

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