Individual
MINNA BETANCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
515 E 63RD ST, SAVANNAH, GA 31405-4300
(912) 355-5938
Mailing address
515 E 63RD, SAVANNAH, GA 31404
(912) 355-5938
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/11/2012
Last updated
10/11/2012
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