| Allison Fender, Lpc, Llc | |
|
100 Mariners Dr Ste D Kingsland GA 31548-6667 | |
| (912) 510-0669 | |
| (912) 510-0754 |
| Full Name | Allison Fender, Lpc, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 100 Mariners Dr Ste D, Kingsland, Georgia |
| Authorized Official Name and Position | Allison Mcmanus Fender (OWNER) |
| Authorized Official Contact | 9125800989 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Allison Fender, Lpc, Llc 1339 Cedar Dr Madison GA 30650-4261 Ph: (912) 580-0989 | Allison Fender, Lpc, Llc 100 Mariners Dr Ste D Kingsland GA 31548-6667 Ph: (912) 510-0669 |
| NPI Number | 1821782335 |
|---|---|
| Provider Enumeration Date | 06/07/2023 |
| Last Update Date | 06/07/2023 |
| Certification Date | 05/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821782335 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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