Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALYSE FANDRICH
ActiveALYSE FANDRICH is a Professional Counselor healthcare provider located in BAXLEY, Georgia. NPI 1508418203 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · BAXLEY, GA
Registration Details
- NPI Number
- 1508418203
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 12, 2019 (7.062740453757 yrs)
- Last Updated
- Jul 12, 2019
- License
-
LPC010854 (GA)
Practice Information
- Address
-
755 S MAIN STBAXLEY, GA, 315130130Browse GA providers · Browse ZIP 31513
- Phone
- 9123674614
- Fax
- 9123679048
- Primary Specialty
-
Professional Counselor
101YP2500X
Other Professional Counselor Providers in BAXLEY, GA
| Name | Credential | NPI |
|---|---|---|
| MICHAEL DUSTIN ARNOLD | MA, NCC, LPC | 1831643808 |
| JESSICA JADE STONE LAMB | LPC | 1588155386 |
| MS. GWENETTA A HARRIS | BS | 1629537097 |
| MIKA ELANI PEARSON | LAPC | 1992360358 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.