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Doretha Pride
Mental Health Counselor in Fort Valley, Georgia
NPI 1568901189

Doretha Pride is a Mental Health Counselor based in Fort Valley, GA and is specialized in Mental Health. Doretha Pride practices in Fort Valley, GA. The NPI Number for Doretha Pride is 1568901189 and holds a License No. (Georgia).

The current practice location address for Doretha Pride is 108 Mimosa Dr, Fort Valley, GA and can be reached out via phone at 478-825-9045.

Location: 108 Mimosa Dr, Fort Valley, GA, 31030-3717
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568901189
Provider Name
Doretha Pride
Credential
Provider Entity Type
Individual
Gender
Female
Address
108 Mimosa Dr, Fort Valley, GA, 31030-3717
Phone Number
478-825-9045
Fax Number
Provider Enumeration Date
02/15/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
108 Mimosa Dr
City
Fort Valley
State
Georgia
Zip
31030-3717
Phone Number
478-825-9045
Fax Number
person
Provider Business Mailing Address Details
Address
108 Mimosa Dr
City
Fort Valley
State
Georgia
Zip
31030-3717
Phone Number
478-825-9045
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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