Individual
CONSUELO LEDBETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 N DUDLEY ST, AMERICUS, GA 31709-3410
(478) 957-3532
Mailing address
PO BOX 6703, WARNER ROBINS, GA 31095-6703
(478) 352-9068
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/13/2021
Last updated
10/13/2021
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