Provider Demographics
NPI:1730230905
Name:DOLIN, BARBARA S (LPC, CT)
Entity type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:S
Last Name:DOLIN
Suffix:
Gender:F
Credentials:LPC, CT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3620 CREEKSTONE WAY
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30068-2514
Mailing Address - Country:US
Mailing Address - Phone:404-944-2365
Mailing Address - Fax:770-977-9042
Practice Address - Street 1:1000 JOHNSON FERRY RD
Practice Address - Street 2:SUITE B - 100
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30068-2114
Practice Address - Country:US
Practice Address - Phone:404-944-2365
Practice Address - Fax:770-977-9042
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-15
Last Update Date:2010-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA000292101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional