Individual
MRS. AUTUMN STREETMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6 MATHIS DRIVE, ROME, GA 30165
(706) 291-7201
(706) 291-7198
Mailing address
6 MATHIS DRIVE, ROME, GA 30165
(706) 291-7201
(706) 291-7198
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
GA
Other
Enumeration date
01/26/2016
Last updated
01/26/2016
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