Individual
DR. ADRIAN STANFORD JANIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
211 PLEASANT HOME RD STE G1, AUGUSTA, GA 30907-0560
(706) 364-4599
(706) 364-4589
Mailing address
211 PLEASANT HOME RD STE G1, AUGUSTA, GA 30907-0560
(706) 364-4599
(706) 364-4589
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
PSY003347
GA
103TB0200X
Cognitive & Behavioral Psychologist
Primary
PSY003347
GA
103TC0700X
Clinical Psychologist
PSY003347
GA
103TC2200X
Clinical Child & Adolescent Psychologist
PSY003347
GA
103TF0000X
Family Psychologist
PSY003347
GA
103TP2701X
Group Psychotherapy Psychologist
PSY003347
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
478699634B
—
GA
Enumeration date
01/28/2009
Last updated
02/07/2025
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