Individual
GRANT ALLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC II
Contact information
Practice address
105 AUTUMN CRK, SENOIA, GA 30276-1557
(770) 301-4622
Mailing address
105 AUTUMN CRK, SENOIA, GA 30276-1557
(770) 301-4622
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
01719
GA
Other
Enumeration date
02/18/2025
Last updated
02/18/2025
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