Individual
JOHN THOMAS DOHENY III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1661 13TH ST STE 102, COLUMBUS, GA 31901-3844
(706) 575-1833
(706) 324-2088
Mailing address
1661 13TH ST STE 102, COLUMBUS, GA 31901-3844
(706) 575-1833
(706) 565-0556
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CERTIFICATION #12786
GA
101YP2500X
Professional Counselor
Primary
003696
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
141934451
FEDERAL TAX I.D.
—
05
—
746440550A
—
GA
Enumeration date
08/01/2006
Last updated
07/10/2021
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