Individual
ANDRE MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5524 OLD NATIONAL HWY, STE B, COLLEGE PARK, GA 30349-3212
(404) 763-8555
(404) 763-8502
Mailing address
4132 ATLANTA HWY, STE 110-224, LOGANVILLE, GA 30052-4930
(678) 288-6550
(678) 288-6550
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
GA55492
GA
Other
Enumeration date
08/13/2012
Last updated
08/13/2012
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