Individual
GERALD RHETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, ICADC, ICCS
Contact information
Practice address
6291 SHELL DR SW, ATLANTA, GA 30331-9420
(404) 523-4599
(404) 586-0645
Mailing address
6291 SHELL DR SW, ATLANTA, GA 30331-9420
(404) 523-4599
(404) 586-0645
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CERTIFICATE #227
GA
1041C0700X
Clinical Social Worker
Primary
CSW004673
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
112681
ICADC INTERNATIONALLY CERTIFIED ALCOHOL AND DRUG COUNSELOR
GA
01
—
CSW004673
SECRETARY OF STATE, GEORGIA COMPOSITE BOARD
GA
Enumeration date
02/22/2012
Last updated
12/14/2012
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