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ROBERT JAMES EGAN LAPC

Professional >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1891073938

Individual Registrant:
 ROBERT JAMES EGAN LAPC
Gender: M
Not Sole Proprietor

Location and contact information for practice:
415 BONAVENTURE RD  THUNDERBOLT, GA 31404-3299 US
Tel: 912-790-6527  Fax: 912-644-7729

Contact information for business:
700 COASTAL VILLAGE DRIVE  BRUNSWICK, GA 31520-1974 US
Tel: 912-554-8510  Fax: 912-264-5965

Registration Information:
NPI: 1891073938
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YP2500XBehavioral Health & Social Service Providers
Counselor
Professional
GAAPC002932

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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