Organization
D. W. DE VOSE & ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DELTON DE VOSE PHD, LPC, CCS, BCTM (EXECUTIVE CLINICAL DIRECTOR)
(706) 364-6576
Entity
Organization
Contact information
Practice address
4210 COLUMBIA RD STE 11B, MARTINEZ, GA 30907-0443
(706) 364-6576
(888) 445-2452
Mailing address
4210 COLUMBIA RD STE 11B, MARTINEZ, GA 30907-0443
(706) 364-6576
(888) 445-2452
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
09/16/2020
Last updated
09/16/2020
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