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Individual

MR. HARRIS TODD POPE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NCAC II, CCS

Contact information

Practice address
251 PRISM DR., SUITE 11, CARROLLTON, GA 30116-9349
(678) 447-4289
Mailing address
PO BOX 1143, BREMEN, GA 30110-1143
(678) 447-4289

Taxonomy

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

Other

Enumeration date
03/30/2014
Last updated
04/30/2014
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