Organization
STILL WATERS PROFESSIONAL COUNSELING SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LEANN JEAN OLDFIELD LPC (CEO)
(706) 955-9224
Entity
Organization
Contact information
Practice address
3711 EXECUTIVE CENTER DR, MARTINEZ, GA 30907-0951
(706) 955-9224
(706) 955-9349
Mailing address
3711 EXECUTIVE CENTER DR, MARTINEZ, GA 30907-0951
(706) 955-9224
(706) 955-9349
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
417703382A
—
GA
Enumeration date
03/07/2007
Last updated
12/11/2015
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