Individual
NZINGA SEVERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
175 SEABREEZE CT, NEWNAN, GA 30265-5572
(443) 463-0640
Mailing address
175 SEABREEZE CT, NEWNAN, GA 30265-5572
(443) 463-0640
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/08/2024
Last updated
02/08/2024
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