MEDICARE: RAJALAKSHMI NELLUVAI PARAMESWARAN 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
1	101YP2500X	Professional Counselor	LPC008869	GA

General Provider Information

NPI Number	:	1235651142
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAJALAKSHMI NELLUVAI PARAMESWARAN LPC

Provider Business Mailing Address
First Line	:	223 ESTUARY TRL
Second Line	:
City	:	ALPHARETTA
State	:	GA
Zip	:	30005-3031
Country	:	US
Telephone Number	:	404-769-6754
Fax Number	:

Provider Business Practice Location Address
First Line	:	2450 ATLANTA HWY STE 1401
Second Line	:
City	:	CUMMING
State	:	GA
Zip	:	30040-1277
Country	:	US
Telephone Number	:	404-224-4708
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2017
Last Update Date	:	07/12/2017

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