Magda Tevdoradze, LPC

NPI 1578595054 · on the registry since 2006

Practice

Address: 544 Medlock Rd
Decatur, GA 30030
Phone: (678) 641-0405
Fax: (404) 373-3022
Organisation at this address: R. Neil Johnston, Md, Llc
Integrated Wellness Outreach, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: 101YP2500X
101YP2500X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2009-08-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia