person
Tanja Supon-clause, MALPC
Professional Counselor in Guyton, Georgia
NPI 1639638703

Tanja Supon-clause is a Professional Counselor based in Guyton, GA and is specialized in Professional. Tanja Supon-clause practices in Guyton, GA and has the professional credentials of MALPC. The NPI Number for Tanja Supon-clause is 1639638703 and holds a License No. LPC010837 (Georgia).

The current practice location address for Tanja Supon-clause is 109 Cotton Bluff Ct, Guyton, GA and can be reached out via phone at 912-433-5099.

Location: 109 Cotton Bluff Ct, Guyton, GA, 31312-7540
person
Provider Profile Details
NPI Number
1639638703
Provider Name
Tanja Supon-clause
Credential
MALPC
Provider Entity Type
Individual
Gender
Female
Address
109 Cotton Bluff Ct, Guyton, GA, 31312-7540
Phone Number
912-433-5099
Fax Number
Provider Enumeration Date
03/18/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
109 Cotton Bluff Ct
City
State
Zip
31312-7540
Phone Number
912-433-5099
Fax Number
person
Provider Business Mailing Address Details
Address
109 Cotton Bluff Ct
City
State
Zip
31312-7540
Phone Number
912-433-5099
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LPC010837 (Georgia)
Definition
Definition to come...
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