person
Ms. Connie Ruth Dominy, LPC
Mental Health Counselor in Macon, Georgia
NPI 1255538161

Connie Ruth Dominy is a Mental Health Counselor based in Macon, GA and is specialized in Mental Health. Connie Ruth Dominy practices in Macon, GA and has the professional credentials of LPC. The NPI Number for Connie Ruth Dominy is 1255538161 and holds a License No. 002333 (Georgia).

The current practice location address for Connie Ruth Dominy is 745 Riverside Drive Ln, Macon, GA and can be reached out via phone at 478-742-8785 and via fax at 478-742-3515.

Location: 745 Riverside Drive Ln, Macon, GA, 31201-2658
person
Provider Profile Details
NPI Number
1255538161
Provider Name
Connie Ruth Dominy
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
745 Riverside Drive Ln, Macon, GA, 31201-2658
Phone Number
478-742-8785
Fax Number
478-742-3515
Provider Enumeration Date
07/03/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
745 Riverside Drive Ln
City
State
Zip
31201-2658
Phone Number
478-742-8785
Fax Number
478-742-3515
person
Provider Business Mailing Address Details
Address
745 Riverside Drive Ln
City
State
Zip
31201-2658
Phone Number
478-742-8785
Fax Number
478-742-3515
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
002333 (Georgia)
Definition
Definition to come...
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