Organization
BEHAVIORAL COUNSELING AND INTERVENTION MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARTHA C MINCEY (PROGRAM DIRECTOR)
(478) 275-7854
Entity
Organization
Contact information
Practice address
511 TELFAIR ST, DUBLIN, GA 31021-5144
(478) 274-9003
(478) 275-1916
Mailing address
787 OLD MACON RD, DUBLIN, GA 31021-0941
(478) 274-9003
(478) 275-1916
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC003234
GA
Other
Enumeration date
06/16/2009
Last updated
06/16/2009
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