Individual
MR. JAMES ANTHONY GORLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC- CACII
Contact information
Practice address
1776 N JEFFERSON ST NE STE B, MILLEDGEVILLE, GA 31061-2292
(478) 451-3112
Mailing address
117 GEORGE LAWRENCE WAY, EATONTON, GA 31024-8403
(478) 451-9084
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2033
GA
101YP2500X
Professional Counselor
Primary
LPC006666
GA
Other
Enumeration date
04/21/2011
Last updated
03/12/2012
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