person
Alyse Fandrich
Professional Counselor in Baxley, Georgia
NPI 1508418203

Alyse Fandrich is a Professional Counselor based in Baxley, GA and is specialized in Professional. Alyse Fandrich practices in Baxley, GA. The NPI Number for Alyse Fandrich is 1508418203 and holds a License No. LPC010854 (Georgia).

The current practice location address for Alyse Fandrich is 755 S Main St, Baxley, GA and can be reached out via phone at 912-367-4614 and via fax at 912-367-9048.

Location: 755 S Main St, Baxley, GA, 31513-0130
person
Provider Profile Details
NPI Number
1508418203
Provider Name
Alyse Fandrich
Credential
Provider Entity Type
Individual
Gender
Female
Address
755 S Main St, Baxley, GA, 31513-0130
Phone Number
912-367-4614
Fax Number
912-367-9048
Provider Enumeration Date
07/12/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
755 S Main St
City
State
Zip
31513-0130
Phone Number
912-367-4614
Fax Number
912-367-9048
person
Provider Business Mailing Address Details
Address
755 S Main St
City
State
Zip
31513-0130
Phone Number
912-367-4614
Fax Number
912-367-9048
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LPC010854 (Georgia)
Definition
Definition to come...
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