Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Delton Wade De Vose, PHD, LPCS, CCS, BCTM

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1194860759

Mr. Delton Wade De Vose, PHD, LPCS, CCS, BCTM is an Addiction (Substance Use Disorder) Counselor in Martinez, Georgia. Practices as a sole proprietor. Licensed in Georgia and North Carolina.

Licensed in
GA, NC
In the registry since
2007
Specialties on file
3
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

4210 Columbia Rd Ste 11B
Martinez, GA 30907-0443
Phone: (706) 364-6576
Fax: (888) 445-2452
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 007674 (GA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 1658 (NC)
Professional Counselor Taxonomy 101YP2500X · Licence 4985 (NC)

Record details

NPI number1194860759
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD , LPCS , CCS , BCTM
Sole proprietorYes
NPI enumeratedFebruary 21, 2007
Last updated in NPPESSeptember 16, 2020
Certification dateAugust 28, 2020

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