Individual
MRS. JIMMIE CALLAHAN GOSWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
654 RED BUD RD NE, CALHOUN, GA 30701-1963
(706) 602-0339
(706) 602-9359
Mailing address
PO BOX 213, CALHOUN, GA 30703-0213
(706) 602-0339
(706) 602-9359
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC002963
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
487392351A
—
GA
Enumeration date
02/12/2013
Last updated
02/12/2013
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