Individual
MRS. DANYALE WEEMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, CCTP, RPTS
Contact information
Practice address
2717 N HIGHWAY 27, CARROLLTON, GA 30117-9349
(470) 244-2574
(678) 890-1518
Mailing address
856 OLD ANTIOCH RD, CARROLLTON, GA 30117-7837
(970) 682-9097
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
CSW005581
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0031652888B
—
GA
Enumeration date
04/01/2010
Last updated
10/11/2018
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