Provider Demographics
NPI:1124160130
Name:ASPY, DENNIS J (LPC, NCC)
Entity type:Individual
Prefix:MR
First Name:DENNIS
Middle Name:J
Last Name:ASPY
Suffix:
Gender:M
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4034 BENT WILLOW LN
Mailing Address - Street 2:
Mailing Address - City:WOODSTOCK
Mailing Address - State:GA
Mailing Address - Zip Code:30189-1513
Mailing Address - Country:US
Mailing Address - Phone:770-517-6397
Mailing Address - Fax:
Practice Address - Street 1:4034 BENT WILLOW LN
Practice Address - Street 2:
Practice Address - City:WOODSTOCK
Practice Address - State:GA
Practice Address - Zip Code:30189-1513
Practice Address - Country:US
Practice Address - Phone:770-517-6397
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC004006101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional