Individual
ALLEN PRIME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC I
Contact information
Practice address
204 WALNUT AVE SE, LINDALE, GA 30147-1229
(551) 333-0298
Mailing address
204 WALNUT AVE SE, LINDALE, GA 30147-1229
(551) 333-0298
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/20/2022
Last updated
05/20/2022
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