person
Mr. Robert Dennis JR.
Pastoral Counselor in Fort Valley, Georgia
NPI 1376100321

Robert Dennis JR. is a Pastoral Counselor based in Fort Valley, GA and is specialized in Pastoral. Robert Dennis JR. practices in Fort Valley, GA. The NPI Number for Robert Dennis JR. is 1376100321 and holds a License No. (Georgia).

The current practice location address for Robert Dennis JR. is 608 Hardeman Ave, Fort Valley, GA and can be reached out via phone at 478-957-8447.

Location: 608 Hardeman Ave, Fort Valley, GA, 31030-3438
person
Provider Profile Details
NPI Number
1376100321
Provider Name
Robert Dennis JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
608 Hardeman Ave, Fort Valley, GA, 31030-3438
Phone Number
478-957-8447
Fax Number
Provider Enumeration Date
05/24/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
222116373732 05 GA
84-1880551 01 GA IRS
institution
Provider Business Practice Location Address Details
Address
608 Hardeman Ave
City
State
Zip
31030-3438
Phone Number
478-957-8447
Fax Number
person
Provider Business Mailing Address Details
Address
608 Hardeman Ave
City
State
Zip
31030-3438
Phone Number
478-957-8447
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Pastoral
Taxonomy
License No.
()
Definition
Definition to come...
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