Individual
DR. ADELINE MCTAVOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., LPC, LMHC,CCS
Contact information
Practice address
555 CHARLIE SMITH SR HWY STE 6, SAINT MARYS, GA 31558
(912) 576-0187
(912) 576-9690
Mailing address
555 CHARLIE SMITH SR HWY STE 6, SAINT MARYS, GA 31558-3032
(912) 576-0187
(912) 576-9690
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC3272
MD
Other
Enumeration date
03/09/2010
Last updated
09/25/2018
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