| Lucretia Dubose Psychotherapy | |
|
32 Exeter Rd Avondale Estates GA 30002-1418 | |
| (706) 280-2214 | |
| Not Available |
| Full Name | Lucretia Dubose Psychotherapy |
|---|---|
| Speciality | Counselor - Professional |
| Location | 32 Exeter Rd, Avondale Estates, Georgia |
| Authorized Official Name and Position | Lucretia Dubose (OWNER) |
| Authorized Official Contact | 4048550022 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lucretia Dubose Psychotherapy 32 Exeter Rd Avondale Estates GA 30002-1418 Ph: (706) 280-2214 | Lucretia Dubose Psychotherapy 32 Exeter Rd Avondale Estates GA 30002-1418 Ph: (706) 280-2214 |
| NPI Number | 1164237772 |
|---|---|
| Provider Enumeration Date | 02/11/2025 |
| Last Update Date | 02/11/2025 |
| Certification Date | 02/11/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164237772 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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