Individual
SAMUEL MBURU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
160 BEGGS CT NE, MARIETTA, GA 30060-0617
(404) 232-9028
(770) 794-3126
Mailing address
160 BEGGS CT NE, MARIETTA, GA 30060-0617
(404) 232-9028
(770) 794-3126
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
GA
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Enumeration date
02/19/2024
Last updated
02/19/2024
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