Organization · Type 2 NPI
Willow Creek Adolescent Substance Abuse Program
Addiction (Substance Use Disorder) Counselor · Ellijay, GA
NPI number
1114174331
Active
Practice location
10 Kiker St
Ellijay, GA 30540-3700
Fax (706) 636-2694
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | LPC003706 (GA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
About NPI 1114174331
Willow Creek Adolescent Substance Abuse Program's National Provider Identifier is 1114174331, issued on Aug 19, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Ellijay, GA. The record was last updated on Aug 19, 2008.