Individual
MR. DAVID ALAN HUMPHRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 CHARLES GILMAN JR AVE, KINGSLAND, GA 31548-6292
(912) 729-4203
Mailing address
700 COASTAL VILLAGE DR, BRUNSWICK, GA 31520-1974
(912) 554-8510
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC001780
GA
106H00000X
Marriage & Family Therapist
MFT00894
GA
Other
Enumeration date
05/09/2007
Last updated
05/23/2013
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