Doctor Name: | FONTA R HIGH |
NPI Number: | 1881905255 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | LPC005854 |
Business Practice Address: | 500 W 3rd Ave # Ace Ste 100 Albany, GA - 317011985 |
Business Phone Number: | 2293127001 |
Business Fax Number: | 2293127006 |
Mailing Address: | 500 W 3rd Ave, Ste 101 ALBANY |
State: | GA |
Postal Code: | 317011985 |
Phone Number: | 2293125869 |
Fax Number: | 2293125853 |
NPI Enumeration Date: | 06/30/2010 |
NPI Last Update Date: | 06/30/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | LPC005854 |
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 |