Individual
ANNIE R SLAYTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3967 PERRY PASS, STONECREST, GA 30038-7730
(770) 291-4517
Mailing address
3967 PERRY PASS, STONECREST, GA 30038-7730
(770) 291-4517
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
03/02/2022
Last updated
03/02/2022
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