Jo-anna Elizabeth Boutwell, | |
204 Durden St, Vidalia, GA 30474-4608 | |
(912) 253-6595 | |
Not Available |
Full Name | Jo-anna Elizabeth Boutwell |
---|---|
Gender | Female |
Speciality | Counselor |
Location | 204 Durden St, Vidalia, Georgia |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023902012 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | MFT002127 (Georgia) | Primary |
Mailing Address | Practice Location Address |
---|---|
Jo-anna Elizabeth Boutwell, 204 Durden St, Vidalia, GA 30474-4608 Ph: (912) 253-6595 | Jo-anna Elizabeth Boutwell, 204 Durden St, Vidalia, GA 30474-4608 Ph: (912) 253-6595 |
Mrs. Deborah Ward, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 310 Durden St, Vidalia, GA 30474 Phone: 478-494-2314 Fax: 912-538-8186 | |
Clifford Hamilton, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2270 Ga Highway 130 W, Vidalia, GA 30474 Phone: 478-290-8710 Fax: 912-805-5241 | |
Sarah B Kitchens, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 104 E 2nd St, Vidalia, GA 30474 Phone: 912-535-2128 Fax: 866-527-5349 | |
Taylor Thompson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 304 Arlington Dr, Vidalia, GA 30474 Phone: 912-537-1414 | |
Mrs. Leigh-anne White, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 403 Durden St, Vidalia, GA 30474 Phone: 912-585-5209 | |
Carl Anthony Wardlaw, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 508 Donovan St, Vidalia, GA 30474 Phone: 912-537-9280 Fax: 912-537-6289 |