Organization
JOURNEY COUNSELING AND PSYHOLOGICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE CERJAN PSY.D. (LICENSED CLINICAL PSYCHOLOGIST)
(229) 255-3099
Entity
Organization
Contact information
Practice address
2339 LAKE PARK DR, ALBANY, GA 31707-3131
(229) 255-3099
(229) 638-6302
Mailing address
2339 LAKE PARK DR, ALBANY, GA 31707-3131
(229) 255-3099
(229) 638-6302
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LPC006319
GA
101YP2500X
Professional Counselor
Primary
LPC007520
GA
103TC0700X
Clinical Psychologist
PSY002049
GA
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000733961A
—
GA
05
—
003108087B
—
GA
05
—
003126707B
—
GA
05
—
003140236A
—
GA
Enumeration date
04/24/2015
Last updated
01/09/2020
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