Prefontaine, Anissa

Prefontaine, Anissa is an individual health care provider with primary practice located at 445 Winn Way , Decatur GA 30030-1707. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Prefontaine, Anissa can be contacted via phone (404) 508-7700.

Contact Information

Primary practice address
445 Winn Way Decatur GA 30030-1707
Phone: (404) 508-7700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 006617 Connecticut

Profile Details

NPI number 1336326313
LBN Legal business name Prefontaine, Anissa
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2008
Last updated Jan 18th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers