Individual
CLARENCE W MASSIE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ICADC, CADC-II, PC
Contact information
Practice address
1414 MORELAND AVE SE, ATLANTA, GA 30316-3207
(404) 627-1774
(404) 627-1765
Mailing address
1414 MORELAND AVE SE, ATLANTA, GA 30316-3207
(404) 627-1774
(404) 627-1765
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/05/2014
Last updated
06/05/2014
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