SearchGeorgia101YP2500X

Delton De Vose, PHD, LPCS, CCS, BCTM

NPI 1194860759 · on the registry since 2007 · sole proprietor

Practice

Address
4210 Columbia Rd Ste 11b
Martinez, GA 30907
Phone
(706) 364-6576
Fax
(888) 445-2452
Organisation at this address
Fenixx In Flow
Ct Bravo, Inc.
Bencor Medical Llc
Life Alarm Services, Inc
Safe At Home Senior Care
Inferred from a shared address, not stated in the registry.
Clinicians at this address
95

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Also registered as
101YA0400X
101YP2500X
Licence states on file
NC, GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-09-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia