Individual
DEWAYNE BURTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDAC-I
Contact information
Practice address
4191 PLEASANT HILL RD STE 100, DULUTH, GA 30096-1411
(470) 704-5010
(470) 704-5111
Mailing address
7937 LAKE STONE CIR, DOUGLASVILLE, GA 30134-4086
(845) 866-3447
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1407
GA
Other
Enumeration date
07/05/2022
Last updated
07/05/2022
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