Individual
GRACE YVONNE HOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2855 LAWRENCEVILLE SUWANEE RD, SUWANEE, GA 30024-3563
(770) 904-3954
Mailing address
2855 LAWRENCEVILLE SUWANEE RD, SUWANEE, GA 30024-3563
(770) 904-3954
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1053
GA
Other
Enumeration date
10/07/2020
Last updated
10/07/2020
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