Individual
DR. CHARLOTTE ANITA COULTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD (HONARARY)
Contact information
Practice address
3100 GENTIAN BLVD STE 8A, COLUMBUS, GA 31907-5639
(706) 530-8756
(470) 552-2767
Mailing address
3100 GENTIAN BLVD STE 8A, COLUMBUS, GA 31907-5639
(706) 530-8756
(470) 552-2767
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003251476A
—
GA
Enumeration date
12/28/2022
Last updated
12/28/2022
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