Individual
MARIE MICHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2467 GOLDEN CAMP RD, AUGUSTA, GA 30906-5515
(706) 790-4440
Mailing address
2467 GOLDEN CAMP RD, AUGUSTA, GA 30906-5515
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/15/2016
Last updated
09/15/2016
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