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Michael Witherspoon
Professional Counselor in Waycross, Georgia
NPI 1841518669

Michael Witherspoon is a Professional Counselor based in Waycross, GA and is specialized in Professional. Michael Witherspoon practices in Waycross, GA. The NPI Number for Michael Witherspoon is 1841518669 and holds a License No. LPC003191 (Georgia).

The current practice location address for Michael Witherspoon is 1007 Mary St, Waycross, GA and can be reached out via phone at 912-449-7100.

Location: 1007 Mary St, Waycross, GA, 31503-3823
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841518669
Provider Name
Michael Witherspoon
Credential
Provider Entity Type
Individual
Gender
Male
Address
1007 Mary St, Waycross, GA, 31503-3823
Phone Number
912-449-7100
Fax Number
Provider Enumeration Date
05/05/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1007 Mary St
City
Waycross
State
Georgia
Zip
31503-3823
Phone Number
912-449-7100
Fax Number
person
Provider Business Mailing Address Details
Address
1007 Mary St
City
Waycross
State
Georgia
Zip
31503-3823
Phone Number
912-449-7100
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
LPC003191 (Georgia)
Definition
Definition to come...
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