Individual
DR. ASHLEY NEAL CALLICUTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LPC, NCC
Contact information
Practice address
301 SEA ISLAND ROAD,, SUITE G, ST. SIMONS ISLAND, GA 31522
(214) 402-1014
Mailing address
301 SEA ISLAND ROAD,, SUITE G, ST. SIMONS ISLAND, GA 31522
(214) 402-1014
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC006870
GA
Other
Enumeration date
08/14/2012
Last updated
08/14/2012
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