Doctor Name: | MRS. DELMA CHRISTINE JAY |
NPI Number: | 1134398159 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | BSPA-CAC II |
License Number: | 1882-R |
Business Practice Address: | 104 Lakeshore Dr Saint Marys, GA - 315583803 |
Business Phone Number: | 9127291120 |
Business Fax Number: | 9127291150 |
Mailing Address: | 403 Thoroughbred Rd, SAINT MARYS |
State: | GA |
Postal Code: | 315583931 |
Phone Number: | 9125767136 |
Fax Number: | 9125767136 |
NPI Enumeration Date: | 02/23/2008 |
NPI Last Update Date: | 02/23/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 1882-R |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |