Provider Information for 1497913073
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Mr. FULANI AREKA DOUGHTY LPC, NCC, CRC, CAADC
Sex: Male
NPI: 1497913073
Last Updated: 2013-08-29
Certification Date:
Certification Date:
Details
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NPI | 1497913073 | ||||||||||||
Enumeration Date | 2008-05-29 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | YES | ||||||||||||
Status | Active | ||||||||||||
Mailing Address | PO BOX 72 WASHINGTON, GA 30673-0072 United States Phone: 706-678-5667 | Fax:888-495-7489 | ||||||||||||
Primary Practice Address | 311 SPRING ST WASHINGTON, GA 30673-1717 United States Phone: 706-678-2384 | Fax:888-495-7489 | ||||||||||||
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