Individual
JAMES DAVID TANKERSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
3330 SUGARBERRY DR, AUGUSTA, GA 30909-0624
(706) 495-5592
Mailing address
1 FREEDOM WAY, AUGUSTA, GA 30904-6258
(706) 733-0188
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
247200000X
Other Technician
—
—
Other
Enumeration date
08/06/2010
Last updated
05/04/2023
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