Mr Robert W Dehaven, MS, NCC, LPC, DAPA | |
121 Ray Rd, Hazlehurst, GA 31539-5119 | |
(478) 296-9394 | |
(478) 296-9394 |
Full Name | Mr Robert W Dehaven |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 121 Ray Rd, Hazlehurst, Georgia |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023079555 | NPI | - | NPPES |
11367944 | Other | GA | CAQH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | LPC003880 (Georgia) | Primary |
101YP2500X | Counselor - Professional | LPC003880 (Georgia) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Robert W Dehaven, MS, NCC, LPC, DAPA 121 Ray Rd, Hazlehurst, GA 31539-5119 Ph: (478) 296-9394 | Mr Robert W Dehaven, MS, NCC, LPC, DAPA 121 Ray Rd, Hazlehurst, GA 31539-5119 Ph: (478) 296-9394 |
Melissa Suzanne Register, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 72 Medders Rd, Hazlehurst, GA 31539 Phone: 478-733-3673 | |
Mr. Ralph H Edwards Jr., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 124 E Jarman St, Hazlehurst, GA 31539 Phone: 912-375-2009 Fax: 912-379-0081 |