Individual
JAIME REBECCA HENLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
700 W THOMAS ST, MILLEDGEVILLE, GA 31061-2672
(954) 290-7198
(478) 968-0698
Mailing address
165 ANNEX DR SE, MILLEDGEVILLE, GA 31061-4867
(478) 445-5736
(478) 968-0698
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY003328
GA
Other
Enumeration date
11/15/2009
Last updated
11/15/2009
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