Tanequa S Dorsey, LCSW
Counselor, Mental Health in McDonough, GA. Individual provider (NPI-1).
NPI number1164033783
StatusActive
Last updated in NPPESAug 17, 2020
Details
- NPI
- 1164033783
- Entity type
- Individual (NPI-1)
- Name
- Tanequa S Dorsey
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 17, 2020
- Certification date
- Aug 17, 2020
- Last updated
- Aug 17, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | CSW006924 | GA | Yes |
Practice location
40 Macon StreetSuite D
McDonough, GA 30253
Phone 678-831-7377
Mailing address
3605 Tinsley Way SwAtlanta, GA 30331-5465
Phone 404-697-7360
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