Individual
MR. FRED STINSON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
414 ALLEN DR, DUBLIN, GA 31021-3847
(478) 274-0036
(478) 274-0036
Mailing address
414 ALLEN DR, DUBLIN, GA 31021-3847
(478) 274-0036
(478) 274-0036
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1567
GA
101YP2500X
Professional Counselor
Primary
007333
GA
Other
Enumeration date
07/20/2014
Last updated
07/20/2014
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