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Wachovia Thornton, LMFT
Mental Health Counselor in Macon, Georgia
NPI 1417625799

Wachovia Thornton is a Mental Health Counselor based in Macon, GA and is specialized in Mental Health. Wachovia Thornton practices in Macon, GA and has the professional credentials of LMFT. The NPI Number for Wachovia Thornton is 1417625799 and holds a License No. MFT001888 (Georgia).

The current practice location address for Wachovia Thornton is 277 Martin Luther King Jr Blvd Ste 203, Macon, GA and can be reached out via phone at 478-745-2811.

Location: 277 Martin Luther King Jr Blvd Ste 203, Macon, GA, 31201-3498
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417625799
Provider Name
Wachovia Thornton
Credential
LMFT
Provider Entity Type
Individual
Gender
Female
Address
277 Martin Luther King Jr Blvd Ste 203, Macon, GA, 31201-3498
Phone Number
478-745-2811
Fax Number
Provider Enumeration Date
09/01/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
277 Martin Luther King Jr Blvd Ste 203
City
Macon
State
Georgia
Zip
31201-3498
Phone Number
478-745-2811
Fax Number
person
Provider Business Mailing Address Details
Address
277 Martin Luther King Jr Blvd Ste 203
City
Macon
State
Georgia
Zip
31201-3498
Phone Number
478-745-2811
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
MFT001888 (Georgia)
Definition
Definition to come...
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