Organization
DOUGLASVILLE PSYCHOLOGICAL OUTPATIENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLA CATHERINE JONES (LICENSED PROFESSIONAL COUNSELOR)
(678) 838-9336
Entity
Organization
Contact information
Practice address
8304 OFFICE PARK DR, DOUGLASVILLE, GA 30134-6935
(678) 838-9336
Mailing address
8304 OFFICE PARK DR, DOUGLASVILLE, GA 30134-6935
(678) 838-9336
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LPC003228
GA
Other
Enumeration date
04/15/2015
Last updated
04/15/2015
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