Individual provider · Type 1 NPI
Kaitasha D. Wooten
Addiction (Substance Use Disorder) Counselor · Stockbridge, GA
NPI number
1770313447
Active
Practice location
1233 Eagles Landing Pkwy
Stockbridge, GA 30281-6399
Mailing address
1247 Joseph E Boone Blvd NW Apt 22
Atlanta, GA 30314-2360
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 1146 (GA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1770313447
Kaitasha D. Wooten's National Provider Identifier is 1770313447, issued on Aug 6, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Stockbridge, GA. The record was last updated on Aug 6, 2024.