Individual provider · Type 1 NPI
Judith Dianne Cleveland, PhD
Mental Health Counselor · Peachtree City, GA
NPI number
1629397492
Active
Practice location
259 Highway 74 N, Suite One
Peachtree City, GA 30269-3561
Fax (770) 599-3033
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 000129 (GA) |
Mental Health Counselor: Definition to come...
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About NPI 1629397492
Judith Dianne Cleveland, PhD's National Provider Identifier is 1629397492, issued on May 19, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Peachtree City, GA. The record was last updated on May 19, 2010.