Individual
CHARLES R HASTINGS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
3541 N CROSSING CIR, VALDOSTA, GA 31602-1019
(229) 244-4200
(229) 244-4995
Mailing address
PO BOX 3229, VALDOSTA, GA 31604-3229
(229) 244-4200
(229) 244-4995
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
000619
GA
Other
Enumeration date
07/21/2005
Last updated
07/08/2007
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