Individual
JACKIE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
GCADC-II
Contact information
Practice address
592 MEDICAL PARK DR STE A, GAINESVILLE, GA 30501-2055
(770) 503-7721
Mailing address
190 ROBERTS WAY, CORNELIA, GA 30531-5064
(706) 768-0423
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/28/2025
Last updated
03/28/2025
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