Individual
MRS. BONNIE JEAN DEAROLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
211 PLEASANT HOME RD, SUITE B-2, AUGUSTA, GA 30907-0518
(706) 854-1600
(706) 854-0432
Mailing address
4113 NICOLES LN, GROVETOWN, GA 30813-4225
(706) 854-1600
(706) 854-0432
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC002382
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPC002382
LPC STATE LICENSE NUMBER
GA
Enumeration date
01/19/2010
Last updated
01/19/2010
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