MR. Delton Wade De Vose, PHD, LPCS, CCS, BCTM

NPI #1194860759 in Martinez, Georgia

Provider Information

NPI Number
1194860759
Entity Type
Individual
Name
MR. Delton Wade De Vose, PHD, LPCS, CCS, BCTM
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
PHD, LPCS, CCS, BCTM
Enumeration Date
Feb 21, 2007
Last Updated
Sep 16, 2020

Practice Location

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

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)
Counselor - ProfessionalProfessional

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