Individual
JOSEPH M STAPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC, NCC
Contact information
Practice address
76 SANDCASTLE CT, DAWSONVILLE, GA 30534-7075
(706) 974-3899
Mailing address
PO BOX 2017, DAWSONVILLE, GA 30534-0036
(706) 974-3899
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC-004711
GA
101YP2500X
Professional Counselor
Primary
LPC-004711
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11968290
CAQH PIN
GA
Enumeration date
07/16/2010
Last updated
07/16/2010
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