Individual
VIRGINIA JOHNSON STOWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
317 W HILL ST STE 101, DECATUR, GA 30030-4368
(404) 947-5764
Mailing address
1362 DUPONT PARK NW, ATLANTA, GA 30318-2794
(205) 242-4204
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
MSW009568
GA
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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