Organization
THOMASVILLE FAMILY COUNSELING CENTER
Active
Other names
Christine M. Renaud
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY J BRENGOSZ (OFFICE MANAGER)
(229) 551-9300
Entity
Organization
Contact information
Practice address
330 N BROAD ST STE B, THOMASVILLE, GA 31792-5100
(229) 551-9300
(229) 226-4649
Mailing address
PO BOX 1353, THOMASVILLE, GA 31799-1353
(229) 551-9300
(229) 226-4649
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PSY002460
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000784209B
—
GA
Enumeration date
05/05/2008
Last updated
05/05/2008
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