Individual provider · Type 1 NPI
Maureen De Jonge, RN, MA, LPC
Professional Counselor · Kathleen, GA
NPI number
1093977613
Active
Practice location
101 Obrien Dr
Kathleen, GA 31047-5337
Fax (478) 988-3188
Mailing address
193 Harner Rd
Kathleen, GA 31047-2010
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPC5955 (GA) |
Professional Counselor: Definition to come...
Other professional counselor providers in Kathleen
About NPI 1093977613
Maureen De Jonge, RN, MA, LPC's National Provider Identifier is 1093977613, issued on Jun 25, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Kathleen, GA. The record was last updated on Jun 23, 2011.