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Individual

JOHN CALVIN ALBERTY

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
3114 AUGUSTA TECH DR, SUITE 203, AUGUSTA, GA 30906-3300
(706) 790-6434
Mailing address
431 W 9TH ST, LOUISVILLE, GA 30434-1481
(706) 790-6434

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LPC003892
GA
101YM0800X
Mental Health Counselor
LPC003892
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LPC003892
STATE LICENSE
GA
Enumeration date
03/08/2006
Last updated
09/11/2025
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