Individual
JULIE ELISE TIBBETTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3615B MIKE PADGETT HWY, AUGUSTA, GA 30906-3898
(229) 326-0543
Mailing address
3015 VETERANS PKWY S, MOULTRIE, GA 31788-6705
(229) 985-4815
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
10147
GA
Other
Enumeration date
06/12/2019
Last updated
06/12/2019
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