Most Relevant Information
Provider Data
NPI Number: | 1003310640 |
Provider Name: | JEAN DANIEL DEVARENNES |
Entity Type: | Individual |
Taxonomy Code: | 101YA0400X |
Specialty: | Counselor |
License Number: |
Most Important Dates
Enumeration Date: | 03/20/2018 |
Last Updated: | 03/20/2018 |
Provider Practice Location
367 RICHARDSON RD SE # 2042451
CALHOUN
GA
307013619
Practice Location Phone/Fax
Phone: | 7622042451 |
Fax: |
Provider Mailing Location
55 BEATTIE PL STE 810
GREENVILLE
SC
296012191
Provider Mailing Phone/Fax
Phone: | |
Fax: |