Individual provider · Type 1 NPI

Konrad Deiss

Addiction (Substance Use Disorder) Counselor · Lagrange, GA

NPI number 1437646064 Active

Practice location

229 S Davis Rd Ste 900
Lagrange, GA 30241-2609

Call (470) 686-2225 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X1219 (GA)

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

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About NPI 1437646064

Konrad Deiss's National Provider Identifier is 1437646064, issued on Apr 19, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lagrange, GA. The record was last updated on Apr 19, 2018.