NPI 1003140435

Genette Mary Phelps, MHS

Practitioner Counselor Martinez, GA

Practice location

Address: 4512 Jessie Rd, Martinez, GA 30907-9759
Phone: (706) 814-6779

Registered specialties

Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101Y00000X Licence IMH 6160 (FL)

Other Counselor providers in Georgia →

Registry record

NPI: 1003140435
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Oct 2009
Record last updated: 2 Oct 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.