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Individual

MRS. DELMA CHRISTINE JAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BSPA-CAC II

Contact information

Practice address
104 LAKESHORE DR, SAINT MARYS, GA 31558-3803
(912) 729-1120
(912) 729-1150
Mailing address
403 THOROUGHBRED RD, SAINT MARYS, GA 31558-3931
(912) 576-7136
(912) 576-7136

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1882-R
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1882-R
STATE BOARD CERTIFICATION
GA
Enumeration date
02/23/2008
Last updated
02/23/2008
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