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Organization
SOUTHEASTERN COUNSELING CENTER, INC.
Active
Organization
SOUTHEASTERN COUNSELING CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERESA LYNN OGLESBEE ED.S.,NBCC,LPC (THERAPIST/OWNER)
(912) 826-1145
Entity
Organization
Contact information
Practice address
812 TOWNE PARK DR., UNIT 400, RINCON, GA 31326-0667
(912) 826-1145
(912) 826-1245
Mailing address
P.O. BOX 667, RINCON, GA 31326-0667
(912) 826-1145
(912) 826-1245
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC004615
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
600030703
MAGELLAN
GA
Enumeration date
10/07/2009
Last updated
10/07/2009
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