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Individual

DR. JOHN L BLEDSOE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D. MIN, PH. D., LPC

Contact information

Practice address
654 RED BUD RD NE, CALHOUN, GA 30701-1963
(706) 602-0339
(706) 602-9359
Mailing address
204 SHERWOOD DRIVE, CALHOUN, GA 30701
(706) 602-0339
(706) 602-9359

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC 1937
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LPC 1937
COUNSELING LICENSE
GA
Enumeration date
07/10/2006
Last updated
07/08/2007
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