NPI age
11 years
Enumerated 2015-01-23
Across 13 active psychologist providers in Georgia.
3 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 4567 | NRC SUBSTANCE ABUSE EXPERT |
| 01 (NC) | CSAC-13850 | CERTIFIED SUBSTANCE ABUSE COUNSELOR |
| 01 (GA) | NAMS1 | NATIONAL ANGER MANAGEMENT SPECIALIST |
| 01 (GA) | 4567 | CISD TRAUMA SPECIALIST |
| 01 (GA) | 20618 | DOT-SUBSTANCE ABUSE PROFESSIONAL |
| 01 (NC) | ICADC-802342 | IC/RC ALCOHOL DRUG COUNSELOR |
| 01 (VA) | 0732008394 | QUALIFIED MENTAL HEALTH PROFESSIONAL |
| 01 (GA) | 3058-R | CAC-II GEORGIA |
| 01 (VA) | CSAC-0710102892 | CERTIFIED SUBSTANCE ABUSE COUNSELOR |
| 01 (GA) | CERT 683 | LIFE COACH |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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