Doctor Name: | MRS. GLORIA HARRIS DAUGHTERY |
NPI Number: | 1104078666 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | LPC005336 |
Business Practice Address: | 318 S Welborn St Suite C Hinesville, GA - 313133127 |
Business Phone Number: | 9123325145 |
Business Fax Number: | 9123325143 |
Mailing Address: | 318 S Welborn St, Suite C HINESVILLE |
State: | GA |
Postal Code: | 313133127 |
Phone Number: | 9123325145 |
Fax Number: | 9123325143 |
NPI Enumeration Date: | 10/15/2008 |
NPI Last Update Date: | 08/07/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | LPC005336 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |