Individual
NADINE BLASE PSAREAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC II, ICADC,
Contact information
Practice address
1558 MARIETTA HWY STE 200, CANTON, GA 30114-3615
(770) 224-6825
(770) 224-6826
Mailing address
350 POPE CIR, CANTON, GA 30114-8418
(770) 224-6825
(770) 224-6826
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1369
GA
174H00000X
Health Educator
19-07-22-1180
GA
Other
Enumeration date
03/04/2020
Last updated
03/04/2020
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