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Joel Bagby
Professional Counselor in Dallas, Georgia
NPI 1609406966

Joel Bagby is a Professional Counselor based in Dallas, GA and is specialized in Professional. Joel Bagby practices in Dallas, GA. The NPI Number for Joel Bagby is 1609406966 and holds a License No. 001431 (Georgia).

The current practice location address for Joel Bagby is 304 W I Pkwy Ste 102, Dallas, GA and can be reached out via phone at 770-445-8079.

Location: 304 W I Pkwy Ste 102, Dallas, GA, 30132-5078
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609406966
Provider Name
Joel Bagby
Credential
Provider Entity Type
Individual
Gender
Male
Address
304 W I Pkwy Ste 102, Dallas, GA, 30132-5078
Phone Number
770-445-8079
Fax Number
Provider Enumeration Date
01/24/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
304 W I Pkwy Ste 102
City
Dallas
State
Georgia
Zip
30132-5078
Phone Number
770-445-8079
Fax Number
person
Provider Business Mailing Address Details
Address
304 W I Pkwy Ste 102
City
Dallas
State
Georgia
Zip
30132-5078
Phone Number
770-445-8079
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
001431 (Georgia)
Definition
Definition to come...
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