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Individual
FAYE L GEORGE
Active
Individual
FAYE L GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC II/QMHA-R
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
98-04-59
OR
101YM0800X
Mental Health Counselor
22-QMHA-R-2048
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500739801
—
OR
05
—
500739807
—
OR
Enumeration date
01/29/2018
Last updated
11/04/2022
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