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Individual

MS. LINDA B TITUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMFT NCACII

Contact information

Practice address
106 SHOPPERS WAY STE 115, BRUNSWICK, GA 31525-0522
(912) 265-7660
(912) 265-7858
Mailing address
106 SHOPPERS WAY STE 115, BRUNSWICK, GA 31525-0522
(912) 265-7660
(912) 265-7858

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
602
GA
101YA0400X
Addiction (Substance Use Disorder) Counselor
NAADAC12341
103T00000X
Psychologist
720
GA
106H00000X
Marriage & Family Therapist
Primary
720
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11511760
CAQH
GA
Enumeration date
08/02/2006
Last updated
06/10/2024
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