Individual
MR. SCOTT ALAN WETHERHOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LMHC
Contact information
Practice address
2125 GREG COUEY RD, DUBLIN, GA 31021-2251
(407) 744-1498
Mailing address
PO BOX 1818, DUBLIN, GA 31040-1818
(407) 744-1498
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MH19456
FL
Other
Enumeration date
07/09/2021
Last updated
07/09/2021
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