Doctor Name: | MRS. SALLY ANN GECKELER-WRIGHT |
NPI Number: | 1023353950 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.A.P.C. |
License Number: | APC003663 |
Business Practice Address: | 327 Dahlonega St Ste B1902 Cumming, GA - 300408216 |
Business Phone Number: | 6783717357 |
Business Fax Number: | 7708881800 |
Mailing Address: | 10260 Medridge Cir, JOHNS CREEK |
State: | GA |
Postal Code: | 300227983 |
Phone Number: | 7707572458 |
Fax Number: | |
NPI Enumeration Date: | 12/04/2012 |
NPI Last Update Date: | 12/04/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | APC003663 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |