person
Mr. Joseph Baisden Mickler III, LPC
Professional Counselor in Dallas, Georgia
NPI 1033269964

Joseph Baisden Mickler III is a Professional Counselor based in Acworth, GA and is specialized in Professional. Joseph Baisden Mickler III practices in Dallas, GA and has the professional credentials of LPC. The NPI Number for Joseph Baisden Mickler III is 1033269964 and holds a License No. LPC003204 (Georgia).

The current practice location address for Joseph Baisden Mickler III is 110 Evans Mill Dr, Dallas, GA and can be reached out via phone at 770-445-6358 and via fax at 770-445-7262.

Location: 110 Evans Mill Dr, Dallas, GA, 30101-6258
person
Provider Profile Details
NPI Number
1033269964
Provider Name
Joseph Baisden Mickler III
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
110 Evans Mill Dr, Dallas, GA, 30101-6258
Phone Number
770-445-6358
Fax Number
770-445-7262
Provider Enumeration Date
01/11/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
110 Evans Mill Dr
City
State
Zip
30157-1622
Phone Number
770-445-6358
Fax Number
770-445-7262
person
Provider Business Mailing Address Details
Address
110 Evans Mill Dr
City
State
Zip
30157-1622
Phone Number
770-445-6358
Fax Number
770-445-7262
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LPC003204 (Georgia)
Definition
Definition to come...
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