NPI Profile for DELTON W DE VOSE in MARTINEZ, GA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Addiction (Substance Use Disorder) |
101YA0400X |
| NPI Number | 1194860759 |
|
| Status | Active | |
| Credentials | PHD, LPCS, CCS, BCTM | |
| Entity | Individual | |
| Enumeration date | 02/21/2007 | |
| Last updated | 09/16/2020 - About 6 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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DELTON W DE VOSE
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