| Randall Overdorff, Lpc | |
|
629 Dawsonville Hwy Ste 2201 Gainesville GA 30501-2610 | |
| (678) 936-4954 | |
| (770) 534-9104 |
| Full Name | Randall Overdorff, Lpc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 629 Dawsonville Hwy, Gainesville, Georgia |
| Authorized Official Name and Position | Randy Overdorff (OWNER) |
| Authorized Official Contact | 7703397667 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Randall Overdorff, Lpc 2038 Pine Tree Cir Gainesville GA 30501-1334 Ph: (678) 936-4954 | Randall Overdorff, Lpc 629 Dawsonville Hwy Ste 2201 Gainesville GA 30501-2610 Ph: (678) 936-4954 |
| NPI Number | 1386196871 |
|---|---|
| Provider Enumeration Date | 10/31/2016 |
| Last Update Date | 11/11/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386196871 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC001347 (Georgia) | Primary |
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