Individual provider · Type 1 NPI

Carly Marie Bervoets

Addiction (Substance Use Disorder) Counselor · Fort Oglethorpe, GA

NPI number 1376003343 Active

Practice location

2007 Old Lafayette Rd
Fort Oglethorpe, GA 30742-3510

Mailing address

606 Graham St
Chattanooga, TN 37405-3604

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 1376003343

Carly Marie Bervoets's National Provider Identifier is 1376003343, issued on Mar 25, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fort Oglethorpe, GA. The record was last updated on Mar 25, 2019.