Individual provider · Type 1 NPI

Edward A. Modzeleski, CACII, CCS

Addiction (Substance Use Disorder) Counselor · Alpharetta, GA

NPI number 1124374293 Active

Practice location

2750 Old Alabama Rd, C/o The Summit Counseling
Alpharetta, GA 30022-8593

Call (678) 893-5300 Map

Mailing address

501 Harbor Lndg
Roswell, GA 30076-3113

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1124374293

Edward A. Modzeleski, CACII, CCS's National Provider Identifier is 1124374293, issued on Jul 26, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Alpharetta, GA. The record was last updated on Jul 26, 2012.