Organization
COGNITIVE BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEVIN VICKNAIR PHD LPC (OWNER)
(770) 827-2262
Entity
Organization
Contact information
Practice address
5415 THOMPSON MILL ROAD STE B, DR DEVIN VICKNAIR, HOSCHTON, GA 30548
(770) 827-2262
(770) 783-8927
Mailing address
3004 MILL GROVE TER, DACULA, GA 30019-5019
(770) 783-8927
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
003253
GA
Other
Enumeration date
03/10/2007
Last updated
05/28/2008
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