person
Mr. Irwin Clyde Rutherford JR., LPC
Professional Counselor in Warner Robins, Georgia
NPI 1801447966

Irwin Clyde Rutherford JR. is a Professional Counselor based in Bonaire, GA and is specialized in Professional. Irwin Clyde Rutherford JR. practices in Warner Robins, GA and has the professional credentials of LPC. The NPI Number for Irwin Clyde Rutherford JR. is 1801447966 and holds a License No. LPC008881 (Georgia).

The current practice location address for Irwin Clyde Rutherford JR. is 109 Osigian Blvd Ste 400, Warner Robins, GA and can be reached out via phone at 229-401-8431.

Location: 109 Osigian Blvd Ste 400, Warner Robins, GA, 31005
person
Provider Profile Details
NPI Number
1801447966
Provider Name
Irwin Clyde Rutherford JR.
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
109 Osigian Blvd Ste 400, Warner Robins, GA, 31005
Phone Number
229-401-8431
Fax Number
Provider Enumeration Date
09/20/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
109 Osigian Blvd Ste 400
City
State
Zip
31088-8925
Phone Number
229-401-8431
Fax Number
person
Provider Business Mailing Address Details
Address
109 Osigian Blvd Ste 400
City
State
Zip
31088-8925
Phone Number
229-401-8431
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LPC008881 (Georgia)
Definition
Definition to come...
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