Individual
MS. PAULA MARIE VON DER HEIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAPC
Contact information
Practice address
206 S PATTERSON ST, VALDOSTA, GA 31601-5668
(229) 245-2373
Mailing address
1018 HILLSIDE DR, VALDOSTA, GA 31601-4309
(229) 245-2373
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1017
GA
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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