Individual provider · Type 1 NPI
Clarence W. Massie Jr., ICADC, CADC-II, PC
Addiction (Substance Use Disorder) Counselor · Atlanta, GA
NPI number
1295148476
Active
Practice location
1414 Moreland Ave SE
Atlanta, GA 30316-3207
Fax (404) 627-1765
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1295148476
Clarence W. Massie Jr., ICADC, CADC-II, PC's National Provider Identifier is 1295148476, issued on Jun 5, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Atlanta, GA. The record was last updated on Jun 5, 2014.