Individual
MR. FULANI AREKA DOUGHTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, NCC, CRC, CAADC
Contact information
Practice address
311 SPRING ST, WASHINGTON, GA 30673-1717
(706) 678-2384
(888) 495-7489
Mailing address
PO BOX 72, WASHINGTON, GA 30673-0072
(706) 678-5667
(888) 495-7489
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
C0153
GA
101YP2500X
Professional Counselor
Primary
LPC005251
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201821286B
—
GA
Enumeration date
05/29/2008
Last updated
08/29/2013
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