Provider Demographics
NPI:1588007900
Name:EXUME, BETTY JEANE (LPC)
Entity Type:Individual
Prefix:MRS
First Name:BETTY
Middle Name:JEANE
Last Name:EXUME
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:781 LOCKS WAY CT
Mailing Address - Street 2:
Mailing Address - City:MARTINEZ
Mailing Address - State:GA
Mailing Address - Zip Code:30907-4965
Mailing Address - Country:US
Mailing Address - Phone:706-951-6863
Mailing Address - Fax:706-868-9022
Practice Address - Street 1:781 LOCKS WAY CT
Practice Address - Street 2:
Practice Address - City:MARTINEZ
Practice Address - State:GA
Practice Address - Zip Code:30907-4965
Practice Address - Country:US
Practice Address - Phone:706-951-6863
Practice Address - Fax:706-868-9022
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-16
Last Update Date:2013-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA004479101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional