D. W. De Vose & Associates, LLC

NPI #1174139133 in Martinez, Georgia

Provider Information

NPI Number: 1174139133
Entity Type: Organization
Organization Name: D. W. De Vose & Associates, LLC
Primary Specialty: Counselor - Mental Health
Enumeration Date: Sep 16, 2020
Last Updated: Sep 16, 2020

Practice Location

Address: 4210 COLUMBIA RD STE 11B
City: Martinez
State: Georgia
ZIP Code: 30907-0443
Phone: (706) 364-6576

Authorized Official

Name: DR. DELTON DE VOSE, PHD, LPC, CCS, BCTM
Title: EXECUTIVE CLINICAL DIRECTOR
Phone: (706) 364-6576

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder	261QR0405X
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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