Doctor Name: | SUSAN JEAN GEDDES |
NPI Number: | 1619058146 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 003394 |
Business Practice Address: | 317 Creekstone Ridge Woodstock, GA - 30188 |
Business Phone Number: | 7705464517 |
Business Fax Number: | 7705163018 |
Mailing Address: | 22 River Oaks Dr, CARTERSVILLE |
State: | GA |
Postal Code: | 30120 |
Phone Number: | 7703823149 |
Fax Number: | 7703823149 |
NPI Enumeration Date: | 10/18/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 003394 |
Healthcare Provider Taxonomy: (Secondary) | Y |
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 |