Doctor Name: | CARON MCDONALD |
NPI Number: | 1962734400 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | LPC006166 |
Business Practice Address: | 50 Chestnut St # At Elberton, GA - 306351806 |
Business Phone Number: | 7065429700 |
Business Fax Number: | 7062277249 |
Mailing Address: | 250 North Ave, ATHENS |
State: | GA |
Postal Code: | 306012244 |
Phone Number: | 7065429700 |
Fax Number: | 7062277224 |
NPI Enumeration Date: | 02/09/2010 |
NPI Last Update Date: | 10/12/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LPC006166 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |