Individual
DR. MICHAEL BALTIMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4225 UNIVERSITY AVE, COLUMBUS, GA 31907-5679
(706) 464-1777
Mailing address
2901 UNIVERSITY AVE, SUITE 38, COLUMBUS, GA 31907-7606
(706) 464-1777
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1839
GA
106H00000X
Marriage & Family Therapist
Primary
620
GA
Other
Enumeration date
03/19/2016
Last updated
03/19/2016
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