Individual
MRS. DAWN SAVANNAH PEEBLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC005594
Contact information
Practice address
1 FREEDOM WAY, AUGUSTA, GA 30904-6258
(706) 733-0188
Mailing address
1 FREEDOM WAY, AUGUSTA, GA 30904-6258
(706) 733-0188
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC005594
GA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
APC001259
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000606317B
—
GA
Enumeration date
04/14/2008
Last updated
02/20/2020
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