person
Alexander Louis Divergilio, MED,NCC
Mental Health Counselor in Newnan, Georgia
NPI 1477135739

Alexander Louis Divergilio is a Mental Health Counselor based in Fayetteville, GA and is specialized in Mental Health. Alexander Louis Divergilio practices in Newnan, GA and has the professional credentials of MED,NCC. The NPI Number for Alexander Louis Divergilio is 1477135739 and holds a License No. (Georgia).

The current practice location address for Alexander Louis Divergilio is 59 Hospital Rd, Newnan, GA and can be reached out via phone at 678-423-4610.

Location: 59 Hospital Rd, Newnan, GA, 30215-6504
person
Provider Profile Details
NPI Number
1477135739
Provider Name
Alexander Louis Divergilio
Credential
MED,NCC
Provider Entity Type
Individual
Gender
Male
Address
59 Hospital Rd, Newnan, GA, 30215-6504
Phone Number
678-423-4610
Fax Number
Provider Enumeration Date
04/26/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
59 Hospital Rd
City
State
Zip
30263-1209
Phone Number
678-423-4610
Fax Number
person
Provider Business Mailing Address Details
Address
59 Hospital Rd
City
State
Zip
30263-1209
Phone Number
678-423-4610
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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