Provider Demographics
NPI:1609829944
Name:FLANAGAN, JAMES L (LPC)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:L
Last Name:FLANAGAN
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:11 CUTTY SARK RD
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31410-2912
Mailing Address - Country:US
Mailing Address - Phone:912-660-8957
Mailing Address - Fax:912-644-7729
Practice Address - Street 1:11 CUTTY SARK RD
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31410-2912
Practice Address - Country:US
Practice Address - Phone:912-660-8957
Practice Address - Fax:912-644-7729
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GALPC003328101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional