Individual provider · Type 1 NPI
Joel Bagby
Professional Counselor · Dallas, GA
NPI number
1609406966
Active
Practice location
304 W I Pkwy Ste 102
Dallas, GA 30132-5078
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 001431 (GA) |
Professional Counselor: Definition to come...
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About NPI 1609406966
Joel Bagby's National Provider Identifier is 1609406966, issued on Jan 24, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Dallas, GA. The record was last updated on Jan 24, 2020.