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Individual

DR. FAMIKA LASHELL ROBERTSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D, SAE/SAP,

Contact information

Practice address
4901 OLDE TOWNE PKWY STE 165, MARIETTA, GA 30068-5645
(833) 227-2489
(770) 415-7200
Mailing address
4901 OLDE TOWNE PKWY STE 165, MARIETTA, GA 30068-5645
(833) 227-2489
(707) 415-7200

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0710102892
VA
101YM0800X
Mental Health Counselor
0732008394
VA
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
802342
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0732008394
QUALIFIED MENTAL HEALTH PROFESSIONAL
VA
01
20618
DOT-SUBSTANCE ABUSE PROFESSIONAL
GA
01
3058-R
CAC-II GEORGIA
GA
01
4567
NRC SUBSTANCE ABUSE EXPERT
GA
01
CERT 683
LIFE COACH
GA
01
CSAC-0710102892
CERTIFIED SUBSTANCE ABUSE COUNSELOR
VA
01
CSAC-13850
CERTIFIED SUBSTANCE ABUSE COUNSELOR
NC
01
ICADC-802342
IC/RC ALCOHOL DRUG COUNSELOR
NC
01
NAMS1
NATIONAL ANGER MANAGEMENT SPECIALIST
GA
Enumeration date
01/23/2015
Last updated
12/24/2024
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