Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor |
NPI | 1003355496 |
---|---|
Provider Name | Cinnamon Finley |
First Address | Tallapoosa, GA 30176-1530 |
Second Address | Tallapoosa, GA 30176 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/02/2017 |
Last Update Date | 14/09/2018 |