Individual
RUBY KIRBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.S,MAC, CCS, CACII
Contact information
Practice address
4282 MEMORIAL DR STE C, DECATUR, GA 30032-1218
(404) 889-0621
Mailing address
4282 MEMORIAL DR STE C, DECATUR, GA 30032-1218
(404) 889-0621
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0507
GA
Other
Enumeration date
06/20/2023
Last updated
06/20/2023
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