Individual
BETTY JEAN JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
96 TOMMY STALNAKER DR STE B, WARNER ROBINS, GA 31088-9236
(478) 333-2735
Mailing address
96 TOMMY STALNAKER DR STE B, WARNER ROBINS, GA 31088-9236
(478) 333-2735
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC010804
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
208019303
NONE
GA
05
—
208019303
—
GA
Enumeration date
08/20/2019
Last updated
08/20/2019
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