Organization
FAMILY COUSELING AND RECOVERY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL ROBERT DOUGHERTY MTH LPC (LPC PRESIDENT)
(770) 386-3777
Entity
Organization
Contact information
Practice address
317 GRASSDALE ROAD, CARTERSVILLE, GA 30120-9014
(770) 386-3777
(770) 516-4369
Mailing address
PO BOX 200743, CARTERSVILLE, GA 30120-9014
(770) 386-3777
(770) 516-4369
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
00884
GA
Other
Enumeration date
11/29/2006
Last updated
08/22/2020
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