Organization
COVENANT COUNSELING CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANE K CERJAN PSYD (PSYCHOLOGIST)
(229) 890-2288
Entity
Organization
Contact information
Practice address
600 2ND ST SE, MOULTRIE, GA 31768-5514
(229) 890-2288
(229) 890-2289
Mailing address
600 2ND ST SE, MOULTRIE, GA 31768-5514
(229) 890-2288
(229) 890-2289
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
002049
GA
Other
Enumeration date
01/24/2007
Last updated
01/28/2009
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