Individual provider · Type 1 NPI

Glendora Dvine, LPC

Professional Counselor · Hampton, GA

NPI number 1144540535 Active

Practice location

141 Bridgemill Dr
Hampton, GA 30228-5536

Call (782) 125-1466 Map

Fax (788) 313-5546

Mailing address

922 Highway 81 E Ste 348
Mcdonough, GA 30252-2978

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X006210 (GA)

Professional Counselor: Definition to come...

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About NPI 1144540535

Glendora Dvine, LPC's National Provider Identifier is 1144540535, issued on Jun 8, 2010. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Hampton, GA. The record was last updated on Jan 31, 2024.