Individual provider · Type 1 NPI

Edna Mae Bethancourt-Harris, ADICTION THERAPIST

Addiction (Substance Use Disorder) Counselor · Decatur, GA

NPI number 1205955028 Active

Practice location

1670 Clairmont Rd
Decatur, GA 30033-4004

Call (404) 321-6111 Map

Fax (404) 417-2961

Mailing address

3100 Lawrenceville Hwy
Tucker, GA 30084-7127

Specialties and licenses

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

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About NPI 1205955028

Edna Mae Bethancourt-Harris, ADICTION THERAPIST's National Provider Identifier is 1205955028, issued on Mar 29, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Decatur, GA. The record was last updated on Jul 8, 2007.