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Individual

DOROTHY WYNENS REHBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC, LMFT

Contact information

Practice address
144 PIERCE AVE, MACON, GA 31204-2860
(478) 475-4608
(478) 476-8397
Mailing address
144 PIERCE AVE, MACON, GA 31204-2860
(478) 475-4608
(478) 476-8397

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC002226
GA
106H00000X
Marriage & Family Therapist
MFT000856
GA

Other

Enumeration date
01/13/2016
Last updated
05/31/2019
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