Individual
MS. DEBORAH SUSAN LUPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CAC1
Contact information
Practice address
106 FORREST AVENUE, A HEALING PLACE, CARTERSVILLE, GA 30120
(770) 383-3311
(770) 383-3228
Mailing address
39 SHOALS FERRY ROAD SE, ROME, GA 30161
(770) 546-1129
(770) 383-3228
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3433
GA
Other
Enumeration date
10/06/2017
Last updated
10/06/2017
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