Individual
MAISHA ANDRELL BURNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CACII
Contact information
Practice address
1837 HIGHWAY 138 SW, RIVERDALE, GA 30296-1812
(678) 658-1117
Mailing address
326 BETTY DR, TENNILLE, GA 31089-3922
(478) 357-1406
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20001272
DC
Other
Enumeration date
03/21/2025
Last updated
03/21/2025
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