Provider Demographics
NPI:1497806830
Name:ZUBOWICZ, GEORGE C (LPC)
Entity Type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:C
Last Name:ZUBOWICZ
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:865 JUDSON BULLOCH RD
Mailing Address - Street 2:
Mailing Address - City:WARM SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:31830-2363
Mailing Address - Country:US
Mailing Address - Phone:706-655-2204
Mailing Address - Fax:
Practice Address - Street 1:19 PERRY ST
Practice Address - Street 2:SUITE B-1
Practice Address - City:NEWNAN
Practice Address - State:GA
Practice Address - Zip Code:30263-1918
Practice Address - Country:US
Practice Address - Phone:770-304-9500
Practice Address - Fax:770-251-6816
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-14
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA1360101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional