Organization
COASTAL COUNSELING CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DALE BLANTON LPC (DIRECTOR)
(912) 729-1120
Entity
Organization
Contact information
Practice address
104 LAKESHORE DR, SUITE D, SAINT MARYS, GA 31558-3803
(912) 729-1120
(912) 729-1150
Mailing address
104 LAKESHORE DR, SUITE D, SAINT MARYS, GA 31558-3803
(912) 729-1120
(912) 729-1150
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/22/2008
Last updated
02/22/2008
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