Search › Georgia › 1041C0700X
Gina Defalco, LCSW
NPI 1851366736 · on the registry since 2006
Practice
- Address
- 485 Huntington Rd
Ste 201
Athens, GA 30606 - Phone
- (706) 546-8440
- Fax
- (706) 546-8456
- Organisation at this address
- Psychcare
Jacqueline Shaffer
Next Level Care Llc
Athens Therapy Co-Op
In Depth Therapy, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 23
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 104100000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-10-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia