Individual provider · Type 1 NPI

Shanequa Mussa, CADC11

Addiction (Substance Use Disorder) Counselor · Lagrange, GA

NPI number 1699522037 Active

Practice location

229 S Davis Rd
Lagrange, GA 30241-2608

Mailing address

6872 Omaha Dr.
Midland, GA 31820

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X1131 (GA)

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

5 other providers at this address

Other addiction (substance use disorder) counselor providers in Lagrange

See all in Lagrange →

About NPI 1699522037

Shanequa Mussa, CADC11's National Provider Identifier is 1699522037, issued on May 3, 2024. 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 May 3, 2024.