Doctor Name: | ALICE DRUSILLA HOAG |
NPI Number: | 1477724540 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. |
License Number: | 1803 |
Business Practice Address: | 624 Highway 197 N Clarkesville, GA - 30523 |
Business Phone Number: | 7067689053 |
Business Fax Number: | 7067547169 |
Mailing Address: | 270 Lovelace Rd, CLARKESVILLE |
State: | GA |
Postal Code: | 305232891 |
Phone Number: | 7067689053 |
Fax Number: | 7067547169 |
NPI Enumeration Date: | 03/17/2008 |
NPI Last Update Date: | 03/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 1803 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |