Provider Demographics
NPI:1013750546
Name:ALDERMAN, JOSEPH PAUL (LPC)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:PAUL
Last Name:ALDERMAN
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 1:1009 N COLUMBIA AVE
Mailing Address - Street 2:
Mailing Address - City:RINCON
Mailing Address - State:GA
Mailing Address - Zip Code:31326-6828
Mailing Address - Country:US
Mailing Address - Phone:912-657-9613
Mailing Address - Fax:912-826-0233
Practice Address - Street 1:1009 N COLUMBIA AVE
Practice Address - Street 2:
Practice Address - City:RINCON
Practice Address - State:GA
Practice Address - Zip Code:31326-6828
Practice Address - Country:US
Practice Address - Phone:912-657-9613
Practice Address - Fax:912-826-0233
Is Sole Proprietor?:No
Enumeration Date:2024-06-13
Last Update Date:2024-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC014750101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional