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NPI Code Detail

MEDICARE: MEGAN EDGE VOREES LPC

MEDICARE: MEGAN EDGE VOREES LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselorAPC003089GA
2101YP2500XProfessional CounselorLPC008382GA

General Provider Information

NPI Number : 1235496613
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN EDGE VOREES LPC
Provider Business Mailing Address
First Line : PO BOX D
Second Line :
City : TOCCOA
State : GA
Zip : 30577-1448
Country : US
Telephone Number : 706-244-5159
Fax Number :
Provider Business Practice Location Address
First Line : 768 HIGHWAY 123
Second Line :
City : TOCCOA
State : GA
Zip : 30577-8686
Country : US
Telephone Number : 706-244-5159
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2012
Last Update Date : 04/20/2015

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Directions to “ MEGAN EDGE VOREES LPC” Practice Location

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