Individual
KRISTIN NICOLE MARCUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
505 NORTHSIDE DR, WARNER ROBINS, GA 31093-2225
(478) 328-4405
(478) 328-4405
Mailing address
940 B HWY 96, WARNER ROBINS, GA 31088
(478) 328-4405
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/12/2017
Last updated
06/12/2017
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