Individual
MR. DAVID WAYNE JIMMERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAPC
Contact information
Practice address
1 FREEDOM WAY, AUGUSTA, GA 30904-6258
(706) 733-0188
(706) 481-6798
Mailing address
130 BLAIR DR, NORTH AUGUSTA, SC 29860-9756
(910) 787-6402
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
APC003735
GA
Other
Enumeration date
06/06/2013
Last updated
06/06/2013
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