Individual provider · Type 1 NPI
Julie Elise Tibbetts, LPC
Professional Counselor · Augusta, GA
NPI number
1306405451
Active
Practice location
3615B Mike Padgett Hwy
Augusta, GA 30906-3898
Mailing address
3015 Veterans Pkwy S
Moultrie, GA 31788-6705
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 10147 (GA) |
Professional Counselor: Definition to come...
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About NPI 1306405451
Julie Elise Tibbetts, LPC's National Provider Identifier is 1306405451, issued on Jun 12, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Augusta, GA. The record was last updated on Jun 12, 2019.