Individual
LORETTA FELTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1017 FAYETTEVILLE RD SE, ATLANTA, GA 30316-2932
(404) 486-9034
Mailing address
1017 FAYETTEVILLE RD SE, ATLANTA, GA 30316-2932
(404) 486-9034
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1354
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155
—
GA
Enumeration date
06/03/2019
Last updated
06/11/2019
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