Individual
MR. SIDNEY AUSTIN GATES JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
3633 WHEELER RD, SUITE 110, AUGUSTA, GA 30909-6549
(706) 855-7784
(706) 651-1090
Mailing address
3633 WHEELER RD STE 100, AUGUSTA, GA 30909-6550
(706) 364-0252
(706) 364-0269
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000750
GA
Other
Enumeration date
01/08/2007
Last updated
02/04/2019
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