Individual provider · Type 1 NPI

Irwin Clyde Rutherford Jr., LPC

Professional Counselor · Warner Robins, GA

NPI number 1801447966 Active

Practice location

109 Osigian Blvd Ste 400
Warner Robins, GA 31088-8925

Call (229) 401-8431 Map

Mailing address

133 Kentshire Lane
Bonaire, GA 31005

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC008881 (GA)

Professional Counselor: Definition to come...

5 other providers at this address

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About NPI 1801447966

Irwin Clyde Rutherford Jr., LPC's National Provider Identifier is 1801447966, issued on Sep 20, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Warner Robins, GA. The record was last updated on Sep 20, 2019.