Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dakota Jack Fidram, LPC

Individual provider Mental Health Counselor · NPI 1518599729

Dakota Jack Fidram, LPC is a Mental Health Counselor in Atlanta, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2020
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

3300 Buckeye Rd Ste 349
Atlanta, GA 30341-4238
Phone: (678) 400-4441
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LPC015411 (GA)

Record details

NPI number1518599729
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorYes
NPI enumeratedFebruary 5, 2020
Last updated in NPPESFebruary 14, 2025
Certification dateFebruary 14, 2025

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