Individual
REGINALD MAYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6500 MCDONOUGH DR STE B2, NORCROSS, GA 30093-1235
(770) 242-7865
(770) 242-7909
Mailing address
6500 MCDONOUGH DR STE B2, NORCROSS, GA 30093-1235
(770) 242-7865
(770) 242-7909
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0965
GA
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
03/19/2013
Last updated
01/17/2019
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