D. W. De Vose & Associates, Llc | |
4210 Columbia Rd Ste 11b Martinez GA 30907-0443 | |
(706) 364-6576 | |
(888) 445-2452 |
Full Name | D. W. De Vose & Associates, Llc |
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Speciality | Counselor - Mental Health |
Location | 4210 Columbia Rd Ste 11b, Martinez, Georgia |
Authorized Official Name and Position | Delton De Vose (EXECUTIVE CLINICAL DIRECTOR) |
Authorized Official Contact | 7063646576 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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D. W. De Vose & Associates, Llc 4210 Columbia Rd Ste 11b Martinez GA 30907-0443 Ph: (706) 364-6576 | D. W. De Vose & Associates, Llc 4210 Columbia Rd Ste 11b Martinez GA 30907-0443 Ph: (706) 364-6576 |
NPI Number | 1174139133 |
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Provider Enumeration Date | 09/16/2020 |
Last Update Date | 09/16/2020 |
Certification Date | 09/16/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174139133 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Secondary |
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Georgia Psychology And Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3736 Executive Center Dr, Martinez, GA 30907 Phone: 706-364-4599 | |
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