person
Mr. Robert W. Dehaven, MS,NCC,LPC,DAPA
Professional Counselor in Hazlehurst, Georgia
NPI 1023079555

Robert W. Dehaven is a Professional Counselor based in Hazlehurst, GA and is specialized in Professional. Robert W. Dehaven practices in Hazlehurst, GA and has the professional credentials of MS,NCC,LPC,DAPA. The NPI Number for Robert W. Dehaven is 1023079555 and holds a License No. LPC003880 (Georgia).

The current practice location address for Robert W. Dehaven is 121 Ray Rd, Hazlehurst, GA and can be reached out via phone at 478-296-9394 and via fax at 478-296-9394.

Location: 121 Ray Rd, Hazlehurst, GA, 31539-5119
person
Provider Profile Details
NPI Number
1023079555
Provider Name
Robert W. Dehaven
Credential
MS,NCC,LPC,DAPA
Provider Entity Type
Individual
Gender
Male
Address
121 Ray Rd, Hazlehurst, GA, 31539-5119
Phone Number
478-296-9394
Fax Number
478-296-9394
Provider Enumeration Date
04/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11367944 01 GA CAQH
institution
Provider Business Practice Location Address Details
Address
121 Ray Rd
City
State
Zip
31539-5119
Phone Number
478-296-9394
Fax Number
478-296-9394
person
Provider Business Mailing Address Details
Address
121 Ray Rd
City
State
Zip
31539-5119
Phone Number
478-296-9394
Fax Number
478-296-9394
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LPC003880 (Georgia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LPC003880 (Georgia)
Definition
Definition to come...
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