Individual
CARRIE MARIE WILLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CAC-AD
Contact information
Practice address
8400 ABERCORN ST, SAVANNAH, GA 31406-3425
(912) 200-4775
Mailing address
8400 ABERCORN ST, SAVANNAH, GA 31406-3425
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
AC2974
MD
101YM0800X
Mental Health Counselor
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Other
Enumeration date
09/22/2021
Last updated
09/23/2021
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