Organization
WEST GEORGIA COUNSELING & ASSESSMENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRED MATTHEW FARRAR M.ED (DIRECTOR)
(706) 837-0045
Entity
Organization
Contact information
Practice address
98 GORDON COMMERCIAL DR, LAGRANGE, GA 30240-5735
(706) 837-0045
(706) 837-0035
Mailing address
PO BOX 4078, 98 GORDON COMMERCIAL DRIVE, LAGRANGE, GA 30241-0082
(706) 837-0045
(706) 837-0035
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/18/2007
Last updated
10/30/2008
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