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Organization
SERENDIPITY COUNSELING & CONSULTING AGENCY
Active
Organization
SERENDIPITY COUNSELING & CONSULTING AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL MICKEN LPC, CRC (OWNER/OPERATOR)
(229) 726-4714
Entity
Organization
Contact information
Practice address
1235 E SHOTWELL ST, BAINBRIDGE, GA 39819-4237
(229) 726-4714
Mailing address
961 HALL ST, BAINBRIDGE, GA 39819-4645
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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