Provider Demographics
NPI:1801813795
Name:AHUAMA-JONAS, MZOLA UBA (LPC, NCC)
Entity Type:Individual
Prefix:MR
First Name:MZOLA
Middle Name:UBA
Last Name:AHUAMA-JONAS
Suffix:
Gender:M
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:515 KIMBALL CREST CT
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30022-6419
Mailing Address - Country:US
Mailing Address - Phone:404-403-4003
Mailing Address - Fax:404-302-8492
Practice Address - Street 1:4284 MEMORIAL DR
Practice Address - Street 2:SUITE D
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30032-1220
Practice Address - Country:US
Practice Address - Phone:404-403-4003
Practice Address - Fax:404-302-8492
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC003267101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional