Individual
DENARD FENAUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
101 GREATWOOD LN, VILLA RICA, GA 30180-5565
(772) 408-3907
(678) 855-6715
Mailing address
101 GREATWOOD LN, VILLA RICA, GA 30180-5565
(772) 408-3907
(678) 855-6715
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MSW011595
GA
104100000X
Social Worker
0903004043
VA
104100000X
Social Worker
6851114226
MI
104100000X
Social Worker
Primary
MSW011595
GA
1041C0700X
Clinical Social Worker
MSW011595
GA
Other
Enumeration date
06/06/2022
Last updated
05/30/2024
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