Organization
R I A COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KERRY CHANELL WHITE LCSW (CEO)
(229) 472-2593
Entity
Organization
Contact information
Practice address
826 46TH ST E, TIFTON, GA 31794-1553
(229) 472-2593
Mailing address
826 46TH ST E, TIFTON, GA 31794-1553
(229) 472-2593
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/08/2023
Last updated
12/08/2023
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