Individual
DENNIS NELSON CAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAMFT
Contact information
Practice address
455 N LUMPKIN ST, ATHENS, GA 30601-2744
(706) 369-7911
(706) 208-9509
Mailing address
411 FOUNTAINHEAD DR, JEFFERSON, GA 30549-6711
(706) 367-5448
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000108
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1290
MHP MENTAL HEALTH PRO
GA
Enumeration date
05/14/2007
Last updated
10/03/2008
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