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Individual

DAVID COMPERE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW, MAC

Contact information

Practice address
117 PARKWOOD AVE, MACON, GA 31210-5018
(478) 477-2220
(478) 477-2220
Mailing address
544 MULBERRY ST STE 305, MACON, GA 31201-8284
(478) 477-2220
(478) 477-2219

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2650
GA
101YM0800X
Mental Health Counselor
2650
GA
1041C0700X
Clinical Social Worker
Primary
2650
GA

Other

Enumeration date
02/20/2007
Last updated
02/21/2019
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