Individual
GLENNYS SORAYA FEBLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ICADC-II
Contact information
Practice address
900 SHUGART RD, DALTON, GA 30720-2467
(800) 715-4225
Mailing address
157 FOLSOM RD SE, FAIRMOUNT, GA 30139-2614
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
84567
GA
Other
Enumeration date
02/02/2016
Last updated
02/02/2016
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