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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. IAN JAMES MUDGE, L.P.C.

Active Sole Proprietor

DR. IAN JAMES MUDGE, L.P.C. is a Professional Counselor healthcare provider located in STONE MOUNTAIN, Georgia. NPI 1700414539 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · STONE MOUNTAIN, GA

Registration Details

NPI Number
1700414539
Provider Type
Individual
Gender
Male
NPI Issued
Mar 28, 2020 (6.363101354895 yrs)
Last Updated
Jul 11, 2024
License
LPC013731 (GA)
Sole Proprietor
Yes

Practice Information

Address
5320 CUMBERLAND WAY
STONE MOUNTAIN, GA, 300874211
Browse GA providers · Browse ZIP 30087
Phone
8622013495
Primary Specialty
Professional Counselor
101YP2500X
Additional Specialty
Professional Counselor

Other Professional Counselor Providers in STONE MOUNTAIN, GA

Name Credential NPI
MR. OGENE LEWIS DAVIS LPC MDIV 1972537504
MS. CARLA D HAWKINS LPC 1003827627
MS. KRISTIA M BRITT MA 1588745244
ARTHURINE W WRIGHT LPC, NCC, CPCS 1740340785
MRS. JILL D MAYS MS, MAC, LPC 1598894859
MS. TAMMY TERRELL YOUNG MA, LPC 1821219734
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.