person
Adam T. Pancake, LPC
Mental Health Counselor in Lagrange, Georgia
NPI 1619933694

Adam T. Pancake is a Mental Health Counselor based in Lagrange, GA and is specialized in Mental Health. Adam T. Pancake practices in Lagrange, GA and has the professional credentials of LPC. The NPI Number for Adam T. Pancake is 1619933694 and holds a License No. 003451 (Georgia).

The current practice location address for Adam T. Pancake is 300 Medical Dr, Lagrange, GA and can be reached out via phone at 706-885-0111 and via fax at 706-885-0607. You can also correspond with Adam T. Pancake through the mailing address at 300 MEDICAL DR, LAGRANGE, GA - 30240-4130 (mailing address contact number: 706-885-0111).

Location: 300 Medical Dr, Lagrange, GA, 30240-4130
person
Provider Profile Details
NPI Number
1619933694
Provider Name
Adam T. Pancake
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
300 Medical Dr, Lagrange, GA, 30240-4130
Phone Number
706-885-0111
Fax Number
706-885-0607
Provider Enumeration Date
04/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
482784910A 05 GA
institution
Provider Business Practice Location Address Details
Address
300 Medical Dr
City
State
Zip
30240-4130
Phone Number
706-885-0111
Fax Number
706-885-0607
person
Provider Business Mailing Address Details
Address
300 Medical Dr
City
State
Zip
30240-4130
Phone Number
706-885-0111
Fax Number
706-885-0607
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
003451 (Georgia)
Definition
Definition to come...
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