Provider Demographics
NPI:1184966749
Name:CODRINGTON, JULIA R (LPC)
Entity type:Individual
Prefix:DR
First Name:JULIA
Middle Name:R
Last Name:CODRINGTON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7377 ALDEN RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30236-7228
Mailing Address - Country:US
Mailing Address - Phone:917-319-3047
Mailing Address - Fax:
Practice Address - Street 1:10 N CLARENDON AVE STE B
Practice Address - Street 2:
Practice Address - City:AVONDALE ESTATES
Practice Address - State:GA
Practice Address - Zip Code:30002-1165
Practice Address - Country:US
Practice Address - Phone:917-319-3047
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-21
Last Update Date:2021-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC007114101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional