Individual provider · Type 1 NPI

Gabrielle Marie Burholt, MA, NCC, LAPC

Addiction (Substance Use Disorder) Counselor · Douglasville, GA

NPI number 1235675042 Active

Practice location

2109 Fairburn Rd, Suite A
Douglasville, GA 30135-1037

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 1235675042

Gabrielle Marie Burholt, MA, NCC, LAPC's National Provider Identifier is 1235675042, issued on Jan 18, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Douglasville, GA. The record was last updated on Jan 18, 2017.