Individual
GWENDOLYN JOANN NEWBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2022 15TH AVE, COLUMBUS, GA 31901-1699
(706) 649-6500
Mailing address
4996 DAYBREAK LN, COLUMBUS, GA 31909-1708
(706) 580-5988
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC014806
GA
Other
Enumeration date
07/15/2024
Last updated
07/17/2024
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