Organization
JOHN T DOHENY III LPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN DOHENY LPC (OWNER/OPERATOR)
(706) 575-1833
Entity
Organization
Contact information
Practice address
2901 UNIVERSITY AVE, SUITE 41, COLUMBUS, GA 31907-7606
(706) 575-1833
(706) 507-9012
Mailing address
PO BOX 5754, SUITE 41, COLUMBUS, GA 31906-0754
(706) 575-1833
(706) 507-9012
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
12786
—
101YM0800X
Mental Health Counselor
Primary
003696
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
746440550A
—
GA
Enumeration date
11/29/2011
Last updated
11/29/2011
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