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NPI Code Detail

MEDICARE: ALFREDO MORALES CELEDON LPC, NCC

MEDICARE:   ALFREDO  MORALES CELEDON  LPC, NCC
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
1101YP2500XProfessional CounselorLPC011177GA

General Provider Information

NPI Number : 1720622459
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALFREDO MORALES CELEDON LPC, NCC
Provider Business Mailing Address
First Line : 4221 GRAVITT PL
Second Line :
City : DULUTH
State : GA
Zip : 30096-4385
Country : US
Telephone Number : 404-955-3306
Fax Number :
Provider Business Practice Location Address
First Line : 660 HILLCREST RD NW STE 400
Second Line :
City : LILBURN
State : GA
Zip : 30047-6896
Country : US
Telephone Number : 404-955-3306
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2019
Last Update Date : 05/27/2026

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Directions to “ ALFREDO MORALES CELEDON LPC, NCC” Practice Location

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