Individual
OPAL J AVERHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2011 MCCOYS MILL RD, HEPHZIBAH, GA 30815-8411
(706) 306-4410
(706) 592-1823
Mailing address
2011 MCCOYS MILL RD, HEPHZIBAH, GA 30815-8411
(706) 306-4410
(706) 592-1823
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/06/2007
Last updated
11/08/2007
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