Rogue Sun Counseling & Consulting, LLC
Social Worker, Clinical in Dallas, GA. Organization (NPI-2).
NPI number1962294553
StatusActive
Last updated in NPPESMay 20, 2025
Details
- NPI
- 1962294553
- Entity type
- Organization (NPI-2)
- Legal business name
- Rogue Sun Counseling & Consulting, LLC
- Organization subpart
- No
- Enumeration date
- May 20, 2025
- Certification date
- May 20, 2025
- Last updated
- May 20, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
377 Blackgum TrceDallas, GA 30132-5563
Phone 770-757-2716
Mailing address
377 Blackgum TrceDallas, GA 30132-5563
Authorized official
Jeff Duckworth
Owner
7707572716
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