John T Doheny Iii Lpc | |
2901 University Ave Suite 41 Columbus GA 31907-7606 | |
(706) 575-1833 | |
(706) 507-9012 |
Full Name | John T Doheny Iii Lpc |
---|---|
Speciality | Counselor - Mental Health |
Location | 2901 University Ave, Columbus, Georgia |
Authorized Official Name and Position | John Doheny (OWNER/OPERATOR) |
Authorized Official Contact | 7065751833 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
John T Doheny Iii Lpc Po Box 5754 Suite 41 Columbus GA 31906-0754 Ph: (706) 575-1833 | John T Doheny Iii Lpc 2901 University Ave Suite 41 Columbus GA 31907-7606 Ph: (706) 575-1833 |
NPI Number | 1043587595 |
---|---|
Provider Enumeration Date | 11/29/2011 |
Last Update Date | 11/29/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043587595 | NPI | - | NPPES |
746440550A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 12786 (* (Not Available)) | Secondary |
101YM0800X | Counselor - Mental Health | 003696 (Georgia) | Primary |
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