Individual
MRS. DEANNA RUTH DENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
180 WATEROAK DRIVE, CEDARTOWN, GA 30125-2095
(706) 748-2225
(706) 749-0939
Mailing address
1620 HICKORY STREET, SUITE 404, DALTON, GA 30720-2312
(706) 270-5033
(706) 370-7749
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC005515
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPC005515
LICENSE
GA
Enumeration date
04/18/2007
Last updated
08/22/2011
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