Individual
JASON HENLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
997 SAINT SEBASTIAN WAY, AUGUSTA, GA 30912-2613
(706) 721-6597
(706) 721-6602
Mailing address
1120 15TH ST, STE BI1056, AUGUSTA, GA 30912-0004
(706) 721-3813
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY003374
GA
Other
Enumeration date
10/12/2011
Last updated
07/28/2023
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