Individual
CARLY MARIE BERVOETS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2007 OLD LAFAYETTE RD, FORT OGLETHORPE, GA 30742-3510
(706) 861-9390
Mailing address
606 GRAHAM ST, CHATTANOOGA, TN 37405-3604
(615) 474-2274
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/25/2019
Last updated
03/25/2019
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