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DR. PAUL O EGBE THERAPIST
Mental Health >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1235402926
Individual Registrant:DR. PAUL O EGBE THERAPIST
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
226 S ANDERSON DR SWAINSBORO, GA 30401-4707 US
Tel: 334-545-0582 Fax: --
Tel: 334-545-0582 Fax: --
Contact information for business:
PO BOX 1833 SWAINSBORO, GA 30401-1833 US
Tel: 334-545-0582 Fax: --
Tel: 334-545-0582 Fax: --
Registration Information:
NPI: 1235402926
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 101YM0800X | Behavioral Health & Social Service Providers Counselor Mental Health | AL | 3002 |
| N | 101YP2500X | Behavioral Health & Social Service Providers Counselor | AL | 3002 |
| Y | 101YP2500X | Behavioral Health & Social Service Providers Counselor | GA | LPC006777 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
