Individual
VICKI MICHAL ALLMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAC 11
Contact information
Practice address
501 MIZE STREET, LAFAYETTE, GA 30728
(706) 638-5591
Mailing address
501 MIZE STREET, LAFAYETTE, GA 30728
(706) 638-5591
(706) 639-2055
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0927
GA
Other
Enumeration date
09/07/2007
Last updated
09/07/2007
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