Individual
DUSTIN HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, LMHC
Contact information
Practice address
327 E JACKSON ST STE A, THOMASVILLE, GA 31792-5175
(229) 516-0476
Mailing address
327 E JACKSON ST STE A, THOMASVILLE, GA 31792-5175
(229) 234-7337
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH14179
FL
101YP2500X
Professional Counselor
Primary
LPC007921
GA
Other
Enumeration date
03/29/2016
Last updated
06/01/2022
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