Joel Bagby Valid NPI
Individual provider · Professional Counselor · Dallas, GA
- NPI
- 1609406966
- Type
- Individual (Type 1)
- Primary specialty
- Professional Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YP2500X
- License number
- 001431 (GA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2020-01-24
- Last updated
- 2020-01-24
Practice location
304 W I Pkwy Ste 102
Dallas, GA 30132-5078
(770) 445-8079