Jerry Mitchell Register, LCSW Valid NPI
Individual provider · Clinical Social Worker · Valdosta, GA
- NPI
- 1194455964
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Social Worker (Social Worker)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 1041C0700X
- License number
- CSW008106 (GA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2022-06-14
- Last updated
- 2022-06-14
Practice location
2935 N Ashley St Bldg F
Valdosta, GA 31602-1777
(229) 333-2273