Doctor Name: | MRS. RHEA MICHELLE WOJCIK |
NPI Number: | 1710244298 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED, NCC, S/T |
License Number: | |
Business Practice Address: | 123 Van Wert Street Buchanan, GA - 30113 |
Business Phone Number: | 7706466806 |
Business Fax Number: | 7706466809 |
Mailing Address: | Po Box 405, BUCHANAN |
State: | GA |
Postal Code: | 301130405 |
Phone Number: | 7706466806 |
Fax Number: | 7706466809 |
NPI Enumeration Date: | 04/20/2012 |
NPI Last Update Date: | 04/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |