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Individual

ADRIAN VERWAYNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3562 HABERSHAM AT NORTHLAKE, BUILDING J, TUCKER, GA 30084
(678) 261-7546
Mailing address
3562 HABERSHAM AT NORTHLAKE, BUILDING J, TUCKER, GA 30084

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
03/17/2015
Last updated
03/17/2015
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